FIRST REGULAR SESSION
[PERFECTED]
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 11
103RD GENERAL ASSEMBLY
0011H.03P 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
PART 1
Section 11.000. Each appropriation in this act shall consist of the item 1
or items in each section of Part 1 of this act, for the amount and 2
purpose and from the fund designated in each section of Part 1, 3
as well as all additional clarifications of purpose in Part 2 of this 4
act that make reference by section to said item or items in Part 5
1. Any clarification of purpose in Part 2 shall state the section or 6
sections in Part 1 to which it attaches and shall, together with the 7
language of said section(s) in Part 1, form the complete statement 8
of purpose of the appropriation. As such, the provisions of Part 9
2 of this act shall not be severed from Part 1, and if any 10
clarification of purpose in Part 2 is for any reason held to be 11
invalid, such decision shall invalidate all of the appropriations in 12 HCS HB 11 2
this act of which said clarification of purpose is a part. Part 3 of 13
this act shall consist of guidance to the Department of Social 14
Services in implementing the appropriations found in Part 1 and 15
Part 2 of this act. An appropriation may be comprised in whole 16
or in part of a one-time amount, and such one-time amount shall 17
be construed to be a component part of, and not in addition to, the 18
stated appropriation amount. Any amount of an appropriation 19
identified as “one-time” in this act shall not be considered an 20
addition to any ongoing core appropriation(s) in future fiscal 21
periods beyond June 30, 2026. Any amount identified as one-time 22
may, however, be requested in any future fiscal period as a new 23
decision item. 24
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 ................................................................................................$153,190 5
Annual salary adjustment in accordance with Section 105.005, 6
RSMo ......................................................................................................................6,363 7
Expense and Equipment ........................................................................... 33,676
8
From General Revenue Fund (1101) ..............................................................................193,229 9
Personal Service ..................................................................................................182,375 10
Annual salary adjustment in accordance with Section 105.005, 11
RSMo ......................................................................................................................2,742 12
Expense and Equipment ........................................................................... 1,197 13
From Department of Social Services Federal Fund (1610) ............................................186,314 14
Personal Service ....................................................................................................42,157 15
Annual salary adjustment in accordance with Section 105.005, 16
RSMo ....................................................................................................... 686 17
From Child Support Enforcement Fund (1169) ................................................... 42,843 18
Total (Not to exceed 2.92 F.T.E.) .................................................................................$422,386 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 HCS HB 11 3
Personal Service .............................................................................................$1,355,217 5
Expense and Equipment (including $4,413 one-time) ............................. 162,625
6
From General Revenue Fund (1101) ...........................................................................1,517,842 7
Personal Service ..................................................................................................560,440 8
Expense and Equipment (including $4,414 one-time) ............................. 27,003 9
From Department of Social Services Federal Fund (1610) ................................. 587,443 10
Total (Not to exceed 33.00 F.T.E.) ............................................................................$2,105,285 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 Department of Social Services Federal Fund (1610) .......................................$2,000,000 9
From Family Services Donations Fund (1167) .................................................... 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 Department of Social Services Federal Fund (1610) .....................................$21,141,931 4
Section 11.025. To the Department of Social Services 1
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 ................................................................................................$364,497 5
Expense and Equipment ........................................................................... 11,068 6
From General Revenue Fund (1101) ..............................................................................375,565 7
Personal Service ..................................................................................................231,364 8
Expense and Equipment ........................................................................... 29,850 9
From Department of Social Services Federal Fund (1610) ............................................261,614 10
Personal Service 11
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 27,886 12 HCS HB 11 4
Total (Not to exceed 10.50 F.T.E.) ...............................................................................$664,665 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 .............................................................................................$2,042,628 11
Expense and Equipment ........................................................................... 224,036
12
From General Revenue Fund (1101) (Not to exceed 33.50 F.T.E.) ..........................$2,266,664 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 .............................................................................................$1,942,475 7
Expense and Equipment ........................................................................... 400,061 8
From General Revenue Fund (1101) ...........................................................................2,342,536 9
Personal Service ...............................................................................................2,426,092 10
Expense and Equipment ........................................................................... 900,498 11
From Department of Social Services Federal Fund (1610) .........................................3,326,590 12
Personal Service ....................................................................................................14,087 13
Expense and Equipment ........................................................................... 4,095 14
From FMAP Enhancement – Expansion Fund (2466) .....................................................18,182 15
Expense and Equipment 16
From Recovery Audit and Compliance Fund (1974) .......................................................82,087 17
Personal Service ..................................................................................................340,666 18
Expense and Equipment ........................................................................... 141,946 19
From Medicaid Provider Enrollment Fund (1990) .............................................. 482,612 20 HCS HB 11 5
Total (Not to exceed 90.05 F.T.E.) ............................................................................$6,252,007 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 (1101) .........................................................................$1,141,709 8
From Department of Social Services Federal Fund (1610) ................................. 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 (1101) ............................................................................$623,806 7
From Department of Social Services Federal Fund (1610) ................................. 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
Expense and Equipment 5
From Recovery Audit and Compliance Fund (1974) ................................................$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 .............................................................................................$2,194,119 5
Expense and Equipment ........................................................................... 382,549 6
From General Revenue Fund (1101) ...........................................................................2,576,668 7
Personal Service ...............................................................................................1,270,900 8
Expense and Equipment ........................................................................... 251,278 9 HCS HB 11 6
From Department of Social Services Federal Fund (1610) .........................................1,522,178 10
Personal Service ......................................................................................................5,246 11
Expense and Equipment ........................................................................... 317
12
From Department of Social Services Administrative Trust Fund (1545) ...........................5,563 13
Personal Service ....................................................................................................63,953 14
Expense and Equipment ........................................................................... 750 15
From Child Support Enforcement Fund (1169) ................................................................64,703 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 (1545) ............ 1,200,000 20
Total (Not to exceed 50.52 F.T.E.) ............................................................................$5,369,112 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 ................................................................................................$852,620 6
Expense and Equipment ........................................................................... 21,300 7
From General Revenue Fund (1101) ..............................................................................873,920 8
Personal Service ..................................................................................................747,085 9
Expense and Equipment ........................................................................... 18,964 10
From Department of Social Services Federal Fund (1610) ................................. 766,049 11
Total (Not to exceed 35.00 F.T.E.) ............................................................................$1,639,969 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 (1101) ............................................................................$198,874 6
From Department of Social Services Federal Fund (1610) ............................................134,505 7
From Temporary Assistance for Needy Families Federal Fund (1199) .........................251,693 8
From Victims of Crime Act Federal Fund (1146) ..........................................................184,331 9
HCS HB 11 7
For contracted compliance monitoring and fiscal monitoring services 10
Expense and Equipment 11
From Department of Social Services Federal Fund (1610) .........................................1,031,110 12
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 578,663
13
Total (Not to exceed 11.00 F.T.E.) ............................................................................$2,379,176 14
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 Department of Social Services Federal Fund (1610) ..........................................$750,000 6
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 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 ten percent (10%) flexibility 5
is allowed between federal and other funds within this section 6
From Title XIX - Adult Expansion Federal Fund (1358) .............................................$450,000 7
From FMAP Enhancement – Expansion Fund (2466) ...................................................450,000 8
From Federal and Other Fund (1189) ..........................................................................1,500,000 9
From Department of Social Services Federal Fund (1610) .........................................5,000,000 10
From Temporary Assistance for Needy Families Federal Fund (1199) ...........................27,000 11
From Title XIX - Federal Fund (1163) ......................................................................10,250,000 12
From Third Party Liability Collections Fund (1120) ......................................................369,000 13
From Victims of Crime Act Federal Fund (1146). .........................................................300,000 14
From Title XXI - Children’s Health Insurance Program Federal 15
Fund (1159) ......................................................................................................1,500,000 16
From Pharmacy Rebates Fund (1114) ..............................................................................25,000 17
From Premium Fund (1885) ................................................................................ 5,500,000 18
Total .........................................................................................................................$25,371,000 19
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 HCS HB 11 8
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 (1101) .........................................................................$1,171,980 7
Section 11.085. To the Department of Social Services 1
For the Division of Legal Services administrative expenses, provided 2
three percent (3%) flexibility is allowed from this section to 3
Section 11.905 4
Personal Service .............................................................................................$2,676,180 5
Expense and Equipment ........................................................................... 132,924
6
From General Revenue Fund (1101) ...........................................................................2,809,104 7
Personal Service ...............................................................................................2,312,021 8
Expense and Equipment ........................................................................... 171,885 9
From Department of Social Services Federal Fund (1610) .........................................2,483,906 10
Personal Service ..................................................................................................736,881 11
Expense and Equipment ........................................................................... 230,773 12
From Temporary Assistance for Needy Families Federal Fund (1199) .........................967,654 13
Personal Service ..................................................................................................708,136 14
Expense and Equipment ........................................................................... 91,158 15
From Third Party Liability Collections Fund (1120) ......................................................799,294 16
Personal Service 17
From Child Support Enforcement Fund (1169) ................................................... 177,995
18
Total (Not to exceed 105.74 F.T.E.) ..........................................................................$7,237,953 19
Section 11.090. To the Department of Social Services 1
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 five percent (5%) 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 HCS HB 11 9
Personal Service .............................................................................................$3,565,937 13
Expense and Equipment ........................................................................... 2,386,211
14
From General Revenue Fund (1101) ...........................................................................5,952,148 15
Personal Service ...............................................................................................1,786,315 16
Expense and Equipment ........................................................................... 1,415,506 17
From Department of Social Services Federal Fund (1610) .........................................3,201,821 18
Personal Service 19
From Temporary Assistance for Needy Families Federal Fund (1199) .........................250,191 20
Personal Service 21
From Third Party Liability Collections Fund (1120) ........................................................66,483 22
Personal Service 23
From Child Support Enforcement Fund (1169) ................................................................13,992 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 Department of Social Services Federal Fund (1610) ............................................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 (1101) ...........................................................................2,019,345 34
From Department of Social Services Federal Fund (1610) ............................................826,778 35
From Temporary Assistance for Needy Families Federal Fund (1199) .........................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 Department of Social Services Federal Fund (1610) ................................. 150,000
40
Total (Not to exceed 69.00 F.T.E.) ..........................................................................$13,488,935 41
Section 11.091. To the Department of Social Services 1
For the Division of Legal Services 2 HCS HB 11 10
For a not-for-profit organization to provide legal assistance for kinship 3
placements with non-contested guardianship cases in a county 4
with more than seven hundred thousand but fewer than eight 5
hundred thousand inhabitants, and a county with more than two 6
hundred thirty thousand but fewer than two hundred sixty 7
thousand inhabitants, and a county with more than one hundred 8
thousand but fewer than one hundred twenty thousand inhabitants 9
and with a county seat with more than four thousand but fewer 10
than six thousand inhabitants, and a county with more than one 11
hundred thousand but fewer than one hundred twenty thousand 12
inhabitants and with a county seat with more than nine thousand 13
but fewer than eleven thousand inhabitants, to help children 14
remain safely with kinship caregivers and prevent the need for 15
foster care placement 16
From General Revenue Fund (1101) (one-time) ............................................................$55,000 17
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 .............................................................................................$2,168,763 4
Expense and Equipment ........................................................................... 24,929
5
From General Revenue Fund (1101) ...........................................................................2,193,692 6
Personal Service ...............................................................................................3,541,562 7
Expense and Equipment ........................................................................... 5,570,815 8
From Department of Social Services Federal Fund (1610) .........................................9,112,377 9
Personal Service ....................................................................................................50,679 10
Expense and Equipment ........................................................................... 501,513 11
From Temporary Assistance for Needy Families Federal Fund (1199) .........................552,192 12
Personal Service 13
From Child Support Enforcement Fund (1169) ................................................... 644,299 14
Total (Not to exceed 104.99 F.T.E.) ........................................................................$12,502,560 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 HCS HB 11 11
Personal Service ...........................................................................................$27,277,827 6
Expense and Equipment (including $1,000,000 one-time) ...................... 3,917,852
7
From General Revenue Fund (1101) .........................................................................31,195,679 8
Personal Service .............................................................................................42,661,376 9
Expense and Equipment (including $3,622,121 one-time) ...................... 18,283,151 10
From Department of Social Services Federal Fund (1610) .......................................60,944,527 11
Personal Service ..................................................................................................812,157 12
Expense and Equipment ........................................................................... 3,879,836 13
From FMAP Enhancement – Expansion Fund (2466) ................................................4,691,993 14
Personal Service ..................................................................................................431,442 15
Expense and Equipment ........................................................................... 95,138 16
From Temporary Assistance for Needy Families Federal Fund (1199) .........................526,580 17
Personal Service ...............................................................................................1,027,041 18
Expense and Equipment ........................................................................... 27,924 19
From Health Initiatives Fund (1275) ................................................................... 1,054,965 20
Total (Not to exceed 1,558.51 F.T.E.) .....................................................................$98,413,744 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 ten percent (10%) flexibility is 5
allowed between subsections within this section 6
For Medicaid and Children’s Health Insurance Program (CHIP) 7
eligibility 8
Personal Service ................................................................................................$910,513 9
Expense and Equipment ........................................................................... 1,544,470 10
From General Revenue Fund (1101) ...........................................................................2,454,983 11
Personal Service ...............................................................................................2,737,267 12
Expense and Equipment ........................................................................... 4,632,904 13
From Department of Social Services Federal Fund (1610) .........................................7,370,171 14
For Adult Expansion Group (AEG) eligibility, as described in Section 15
36(c) of Article IV of the Missouri Constitution 16
Personal Service ..................................................................................................314,005 17 HCS HB 11 12
Expense and Equipment ........................................................................... 540,473
18
From FMAP Enhancement - Expansion Fund (2466) ....................................................854,478 19
Personal Service ..................................................................................................955,371 20
Expense and Equipment ........................................................................... 1,621,418 21
From Department of Social Services Federal Fund (1610) .........................................2,576,789 22
For Supplemental Nutrition Assistance Program (SNAP) eligibility 23
Personal Service ...............................................................................................5,832,610 24
Expense and Equipment ........................................................................... 3,882,701 25
From General Revenue Fund (1101) ...........................................................................9,715,311 26
Personal Service ...............................................................................................5,847,857 27
Expense and Equipment ........................................................................... 3,881,515 28
From Department of Social Services Federal Fund (1610) .........................................9,729,372 29
For Temporary Assistance eligibility 30
Personal Service ..................................................................................................546,312 31
Expense and Equipment ........................................................................... 245,951 32
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 792,263 33
Total (Not to exceed 411.72 F.T.E.) ........................................................................$33,493,367 34
Section 11.115. To the Department of Social Services 1
For the Income Maintenance (IM) Call Center 2
For the operation of 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 (1101) (one-time) ..........................................................$176,710 7
From Department of Social Services Federal Fund (1610) (one-time) ..........................323,290 8
For Supplemental Nutrition Assistance Program (SNAP) eligibility 9
Expense and Equipment 10
From General Revenue Fund (1101) (one-time) ............................................................176,710 11
From Department of Social Services Federal Fund (1610) (one-time) ............... 323,290 12
Total ...........................................................................................................................$1,000,000 13
Section 11.120. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 13
For public acute care hospital partnerships to assist with eligibility 3
determinations for Medicaid and CHIP 4
From General Revenue Fund (1101) .........................................................................$1,000,000 5
From Department of Social Services Federal Fund (1610) ................................. 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
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 (1101) ............................................................................$105,069 7
From Department of Social Services Federal Fund (1610) ................................. 110,723 8
Total ..............................................................................................................................$215,792 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 (1101) ............................................................................$835,130 5
From Department of Social Services Federal Fund (1610) ............................................834,797 6
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 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 ................................................................................................$169,482 5
Expense and Equipment ........................................................................... 11,543 6
From General Revenue Fund (1101) ..............................................................................181,025 7
Personal Service ..................................................................................................169,482 8
Expense and Equipment ........................................................................... 11,543 9
From Department of Social Services Federal Fund (1610) ................................. 181,025 10
Total (Not to exceed 6.00 F.T.E.) .................................................................................$362,050 11
Section 11.140. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 14
For the Summer Electronic Benefit Transfer (EBT) program 3
For contracted vendor costs 4
Expense and Equipment 5
From General Revenue Fund (1101) .........................................................................$6,413,100 6
From Department of Social Services Federal Fund (1610) ................................. 6,413,100
7
Total .........................................................................................................................$12,826,2008
Section 11.141. To the Department of Social Services 1
For the Family Support Division 2
For the Missouri SuN Bucks Summer Electronic Benefit Transfer (EBT) 3
program benefit disbursements 4
From Department of Social Services Federal Fund (1610) .....................................$51,500,000 5
Section 11.145. To the Department of Social Services 1
For the Family Support Division 2
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 (1167) ...............................................................$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 (1101) ............................................................................$571,908 9
From Department of Social Services Federal Fund (1610) ..............................................48,422 10
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000 11
Total ...........................................................................................................................$1,020,330 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 three percent (3%) flexibility is allowed 4
from this section to Section 11.905 5
For the design, development, implementation, maintenance and 6
operation costs of the Medicaid and Children’s Health Insurance 7 HCS HB 11 15
Program (CHIP) eligibility categories under the Modified 8
Adjusted Gross Income (MAGI) based methodology 9
Expense and Equipment, excluding employee administrative 10
costs 11
From General Revenue Fund (1101) .........................................................................$1,679,105 12
From Department of Social Services Federal Fund (1610) .......................................25,179,260 13
From FMAP Enhancement - Expansion Fund (2466) ....................................................500,000 14
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,300,007 15
From Health Initiatives Fund (1275) ...........................................................................1,000,004 16
For the design, development, and implementation costs for Supplemental 17
Nutrition Assistance Program (SNAP) 18
Expense and Equipment, excluding employee administrative costs 19
From General Revenue Fund (1101) ...........................................................................2,688,120 20
From Department of Social Services Federal Fund (1610) .......................................11,058,108 21
From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000 22
For the design, development, and implementation costs for Temporary 23
Assistance (TA) 24
Expense and Equipment, excluding employee administrative costs 25
From Temporary Assistance for Needy Families Federal Fund (1199) .........................200,000 26
For the expenses for the independent verification and validation (IV&V) 27
services 28
Expense and Equipment, excluding employee administrative costs 29
From General Revenue Fund (1101) ..............................................................................352,983 30
From Department of Social Services Federal Fund (1610) ............................................970,537 31
For the expenses related to the enterprise content management (ECM) 32
system 33
Expense and Equipment, excluding employee administrative costs 34
From General Revenue Fund (1101) (including $577,416 one-time) .........................1,031,283 35
From Department of Social Services Federal Fund (1610) (including 36
$890,587 one-time) ..........................................................................................3,118,087 37
For the expenses related to the project management office (PMO) 38
Expense and Equipment 39
From General Revenue Fund (1101) ...........................................................................1,359,631 40
From Department of Social Services Federal Fund (1610) ................................. 2,661,566
41
Total .........................................................................................................................$55,098,69142 HCS HB 11 16
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
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 18
Expense and Equipment 19
From General Revenue Fund (1101) .........................................................................$4,197,481 20
From Department of Social Services Federal Fund (1610) .........................................9,946,513 21
From FMAP Enhancement – Expansion Fund (2466) .................................................$654,781 22
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 217,878
23
Total .........................................................................................................................$15,016,653 24
Section 11.165. To the Department of Social Services 1
For the Family Support Division 2
For the Food Nutrition Program 3
From Department of Social Services Federal Fund (1610) .....................................$14,343,791 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 HCS HB 11 17
females to find jobs and have the opportunity to earn livable 9
wages 10
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$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
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 (1199) .........................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 (1199) .............. 2,000,000
24
Total ...........................................................................................................................$2,600,000 25
Section 11.171. To the Department of Social Services 1
For a nonprofit organization located in a city with more than four 2
hundred thousand inhabitants and located in more than one 3
county that provides training in the trade of pet grooming to break 4
through generational poverty 5
From Temporary Assistance for Needy Families Federal Fund (1199) 6
(one-time) ..........................................................................................................$300,000 7
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 (1199) .......................$845,5699
HCS HB 11 18
Section 11.176. To the Department of Social Services 1
For a non-profit organization whose mission is to provide children and 2
adults with care and support located in a county with more than 3
one million inhabitants for habilitation, autism services, early 4
childhood development, and family services 5
From General Revenue Fund (1101) (one-time) ..........................................................$500,000 6
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, a public school located in a city with 13
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
thousand six hundred inhabitants, a public school located in a city 17
with more than four thousand nine hundred but fewer than five 18
thousand six hundred inhabitants and that is the county seat of a 19
county with more than twelve thousand five hundred but fewer 20
than fourteen thousand inhabitants, and a public school located in 21
a city with more than twelve thousand five hundred but fewer 22
than fourteen thousand inhabitants and located in a county with 23
more than fifty thousand but fewer than sixty thousand 24
inhabitants and with a county seat with more than ten thousand 25
but fewer than twelve thousand six hundred inhabitants, for a 26
model that uses integrated student support in collaboration with 27
local communities to address barriers to student success 28
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,200,000
29
For an organization with a program with the goal of reaching 30
independence from poverty through support, education, career 31 HCS HB 11 19
development, financial planning, and mentoring located in a city 32
with more than one hundred sixty thousand but fewer than two 33
hundred thousand inhabitants 34
From Temporary Assistance for Needy Families Federal Fund (1199) .........................700,000 35
For a not-for-profit organization located in a city not within a county that 36
has been in operation for over 100 years and provides children 37
and family services 38
From General Revenue Fund (1101) ..............................................................................500,000 39
From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000 40
For the Temporary Assistance for Needy Families (TANF) benefits and 41
Temporary Assistance (TA) Diversion transitional benefits 42
From General Revenue Fund (1101) ...........................................................................3,856,800 43
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 16,200,000
44
Total .........................................................................................................................$24,456,80045
Section 11.181. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in a city not within a county and 3
was founded in 2015, provided that said organization provides 4
mentoring, family counseling, and tutoring services for young 5
men ranging in ages from 8 to 18 years old, and further provided 6
that funds shall be used for transportation needs, meeting space 7
rental, part-time mentoring coordinators, and healthy food 8
choices during weekend events 9
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$500,000 10
Section 11.184. To the Department of Social Services 1
For the Family Support Division 2
For a sports enrichment park in a city with more than four hundred 3
thousand inhabitants and located in more than one county for 4
students that provides a supervised and structured environment 5
for empowering youth to develop self-esteem, basic life skills, 6
respect for the rights of others and property, all through: sport, 7
fitness, cultural, and educational programming 8
From Temporary Assistance for Needy Families Federal Fund (1199) 9
(one-time) ..........................................................................................................$100,000 10
HCS HB 11 20
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 (1199) ....................$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 (1199) .............. 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 (1101) ..............................................................................$10,872 4
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 (1101) .......................................................................$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 (1621) ............................................................................$40,513,564 12 HCS HB 11 21
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 .............................................................................................$1,080,832 5
Expense and Equipment ........................................................................... 136,566
6
From General Revenue Fund (1101) ...........................................................................1,217,398 7
Personal Service ...............................................................................................4,046,330 8
Expense and Equipment ........................................................................... 754,915 9
From Department of Social Services Federal Fund (1610) ................................. 4,801,245 10
Total (Not to exceed 102.69 F.T.E.) ..........................................................................$6,018,643 11
Section 11.210. To the Department of Social Services 1
For the Family Support Division 2
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 (1101) .........................................................................$1,511,211 5
From Department of Social Services Federal Fund (1610) .........................................6,444,946 6
From Family Services Donations Fund (1167) .................................................................99,995 7
From Blindness Education, Screening and Treatment Program Fund 8
(1892) ....................................................................................................... 349,325 9
Total ...........................................................................................................................$8,405,487 10
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 Department of Social Services Federal Fund (1610) .....................................$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 .............................................................................................$3,623,150 6
Expense and Equipment ........................................................................... 2,562,989 7
From General Revenue Fund (1101) ...........................................................................6,186,139 8
Personal Service .............................................................................................19,465,786 9 HCS HB 11 22
Expense and Equipment ........................................................................... 7,770,516
10
From Department of Social Services Federal Fund (1610) .......................................27,236,302 11
Personal Service ...............................................................................................2,417,751 12
Expense and Equipment ........................................................................... 396,390 13
From Child Support Enforcement Fund (1169) ................................................... 2,814,141 14
Total (Not to exceed 584.04 F.T.E.) ........................................................................$36,236,582 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 ................................................................................................$878,359 5
Expense and Equipment ........................................................................... 614,885 6
From General Revenue Fund (1101) ...........................................................................1,493,244 7
Personal Service ...............................................................................................1,676,239 8
Expense and Equipment ........................................................................... 1,297,503 9
From Department of Social Services Federal Fund (1610) .........................................2,973,742 10
Personal Service ..................................................................................................128,131 11
Expense and Equipment ........................................................................... 95,844 12
From Child Support Enforcement Fund (1169) ................................................... 223,975 13
Total (Not to exceed 67.20 F.T.E.) ............................................................................$4,690,961 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 (1101) .........................................................................$2,240,491 7
From Department of Social Services Federal Fund (1610) .......................................14,886,582 8
From Child Support Enforcement Fund (1169) ................................................... 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 HCS HB 11 23
refunds of support payments or overpayments, and distributions 5
to families 6
From Department of Social Services Federal Fund (1610) .....................................$36,500,000 7
From Debt Offset Escrow Fund (1753) ............................................................... 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 (1753) ........................................................................$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 (1753) ............................................................... 245,000 7
Total ...........................................................................................................................$1,200,000 8
Section 11.245. To the Department of Social Services 1
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 (1101) ............................................................................$118,370 6
From Department of Social Services Federal Fund (1610) .........................................1,936,002 7
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,043,842 8
Total (Not to exceed 48.00 F.T.E.) ............................................................................$3,098,214 9
Section 11.246. To the Department of Social Services 1
For a not-for-profit organization located in a city with more than one 2
hundred five thousand but fewer than one hundred twenty-five 3
thousand inhabitants to partner with neighbors and collaborate on 4
strategies that foster community stability and individual 5
wellbeing 6
From General Revenue Fund (1101) (one-time) ..........................................................$100,000 7
Section 11.250. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 24
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 (1101) ............................................................................$632,328 7
From Department of Social Services Federal Fund (1610) ..............................................78,307 8
From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,525,492 9
For the Missouri Mentoring Partnership 10
From Department of Social Services Federal Fund (1610) ............................................935,000 11
From Temporary Assistance for Needy Families Federal Fund (1199) .........................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 (1199) .............. 600,000
15
Total .........................................................................................................................$10,279,827 16
Section 11.251. To the Department of Social Services 1
To the Family Support Division 2
For the employee and program expenses for a nonprofit organization 3
located in a city not within a county to organize, advocate and 4
develop leadership capacity for the families of incarcerated and 5
formerly incarcerated individuals 6
From Temporary Assistance for Needy Families Federal Fund (1199) 7
(one-time) ..........................................................................................................$320,000 8
Section 11.252. To the Department of Social Services 1
For the Family Support Division 2
For a 501(c)(3) non-profit corporation formed in 2010, and located in a 3
city with more than one hundred sixty thousand but fewer than 4
two hundred thousand inhabitants to assist at-risk or foster care 5
youth ranging in ages from 16 to 24 years old through its positive 6
youth development programs and by helping them identify and 7
apply their unique strengths in order to experience a successful, 8
self-sufficient transition into adulthood 9
From Temporary Assistance for Needy Families Federal Fund (1199) 10
(one-time) ..........................................................................................................$250,000 11
Section 11.255. To the Department of Social Services 1 HCS HB 11 25
For the Family Support Division 2
For the Missouri Work Assistance Program Unit 3
For Work Assistance Programs 4
From General Revenue Fund (1101) .........................................................................$1,855,554 5
From Temporary Assistance for Needy Families Federal Fund (1199) ....................12,017,755 6
For the Missouri SkillUp Program 7
From Department of Social Services Federal Fund (1610) .........................................4,672,471 8
From Temporary Assistance for Needy Families Federal Fund (1199) ......................5,469,104 9
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 Department of Social Services Federal Fund (1610) .........................................5,100,000 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 (1101) ...........................................................................2,000,000 17
From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,000,000 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 (1522) ......................................................................1,000,000 22
For child care at adult high school locations 23
From General Revenue Fund (1101) ...........................................................................1,510,000 24
For the Summer Jobs Program 25
From Temporary Assistance for Needy Families Federal Fund (1199) .........................850,000 26
For Jobs for America’s Graduates 27
From Temporary Assistance for Needy Families Federal Fund (1199) ......................4,150,000 28
For the Foster Care Jobs Program 29
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000 30
For the purpose of funding a program located in a city not within a county 31
that assists individuals with limited opportunities to self-32 HCS HB 11 26
sufficiency by breaking down barriers to self-sufficiency, 33
creating a safer and more inclusive community 34
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000 35
For a program located in a city not within a county that fosters inclusion 36
of minority and women-owned businesses on construction 37
projects 38
From Temporary Assistance for Needy Families Federal Fund (1199) .........................500,000 39
For an organization located in a city not within a county, whose mission 40
is to empower individuals for social and economic growth 41
through relationship and opportunity by facilitating supplemental 42
education programs, job development and training, and 43
community service programs for under-resourced individuals 44
From General Revenue Fund (1101) (one-time) .........................................................2,000,000 45
For an organization located in a city with more than four hundred 46
thousand inhabitants and located in more than one county that 47
works to improve the quality of life for individuals in the Latino 48
communities of Greater Kansas City through education, financial 49
counseling and lending, and cultural events 50
From Temporary Assistance for Needy Families Federal Fund (1199) 51
(one-time) .........................................................................................................5,000,000 52
For a comprehensive counseling and solution generation service that 53
focuses on a multi-year journey for high school students from 54
initial training to full-time employment with pre-identified entry 55
level jobs that drive the program’s training while earning a degree 56
relating to information technology, provided that the service is 57
designed to assist with environmental hurdles and with students 58
receiving accredited course credit from institutions for higher 59
education in the state of Missouri, and further provided that the 60
service includes a multi-year, wrap around support infrastructure 61
for each student that extends from the student’s acceptance into 62
the program through full time employment and continues until 63
the student completes a degree, if so requested by the program 64
participant, also known as HyperCare 65
From Temporary Assistance for Needy Families Federal Fund (1199)
66
(one-time) ................................................................................................. 3,500,000
67 HCS HB 11 27
Total .........................................................................................................................$58,624,884 68
Section 11.256. To the Department of Social Services 1
For an organization founded in 1922 that provides and deploys 2
accountable funding and support for nonprofits statewide focused 3
on basic needs, financial stability, childhood development and 4
youth services, health and wellbeing, and education 5
From Temporary Assistance for Needy Families Federal Fund (1199) 6
(one-time) .......................................................................................................$5,000,000 7
Section 11.257. To the Department of Social Services 1
For the Family Support Division 2
For a non-profit program located in a city with more than four hundred 3
inhabitants and located in more than one county that assists high 4
school graduates, young adults, and career-seeking individuals in 5
obtaining post-secondary education and job training and teaching 6
the imperative career-skill and work ethic necessary to become 7
successful employees 8
From Temporary Assistance for Needy Families Federal Fund (1199) 9
(one-time) ..........................................................................................................$500,000 10
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 (1199) .......................$500,000 8
Section 11.261. To the Department of Social Services 1
To the Family Support Division 2
For a 501(c)(3) non-profit corporation with more than 50 employees, 3
formed in 1998, and located in a city with more than one hundred 4
and sixty thousand but fewer than two hundred thousand 5
inhabitants for a school-based social work program that provides 6
enhanced support for children and family members suffering 7
trauma as a result of addiction in the family 8
From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) .................$500,000 9
HCS HB 11 28
Section 11.265. To the Department of Social Services 1
For the Family Support Division 2
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 (1199) ..................$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 (1199) ......................1,500,000 11
For after school support programs 12
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000 13
For out of school support programs 14
From Temporary Assistance for Needy Families Federal Fund (1199) ......................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 (1199) .........................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 (1199) .........................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 (1199) .............. 230,000
28
Total .........................................................................................................................$15,180,000 29
Section 11.266. To the Department of Social Services 1
For a not-for-profit organization located in a city not within a county to 2
improve the quality of life of people affected by HIV, illness, and 3 HCS HB 11 29
poverty, and to advance their stability and well-being through 4
housing, health, and empowerment services 5
From General Revenue Fund (1101) (one-time) ..........................................................$250,000 6
From Temporary Assistance for Needy Families Federal Fund (1199) 7
(one-time) ................................................................................................. 250,000
8
Total ..............................................................................................................................$500,000 9
Section 11.267. To the Department of Social Services 1
For a 501(c)(3) non-profit corporation with more than 30 employees, 2
formed in 1969, and located in a city with more than one hundred 3
sixty thousand but fewer than two hundred thousand inhabitants 4
for training, resources, and support to equip volunteers to tutor 5
and support student learning in public elementary schools 6
From Temporary Assistance for Needy Families Federal Fund (1199) 7
(one-time) ..........................................................................................................$150,000 8
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
professional skills development, peer-mentoring services, and 6
training young adults to become mentor leaders 7
From General Revenue Fund (1101) ..............................................................................$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 (1199) ....................$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 (1199) 8
(including $500,000 one-time) ......................................................................$2,000,000 9 HCS HB 11 30
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 (1101) .........................................................................$2,033,561 14
From Department of Social Services Federal Fund (1610) ..............................................50,000 15
From Temporary Assistance for Needy Families Federal Fund (1199) ....................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
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 (1101) ................................................................... 550,000
24
Total .........................................................................................................................$12,933,561 25
Section 11.286. To the Department of Social Services 1
For the Family Support Division 2
For grants to: organizations that promote and facilitate adoptions, 3
maternity homes, and organizations providing material support 4
and other assistance to individuals facing an unintended 5
pregnancy to help those individuals give birth to their unborn 6
children 7
From General Revenue Fund (1101) .........................................................................$2,000,000 8
Section 11.287. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 31
For a grant to an organization located in a city with more than thirty-six 3
thousand five hundred but fewer than forty thousand inhabitants 4
that promotes and facilitates adoptions, maternity homes, 5
material support and other assistance to individuals facing an 6
unintended pregnancy to help those individuals give birth to their 7
unborn children 8
From General Revenue Fund (1101) ............................................................................$250,000 9
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 250,000
10
Total ..............................................................................................................................$500,00011
Section 11.288. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization, located in any city not within a county, 3
for a male mentoring program founded in 1984 4
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$126,000 5
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 (1199) .......................$500,000 7
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 500,000 8
Total ...........................................................................................................................$1,000,000 9
Section 11.291. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in a city not within a county 3
whose mission is to ensure equitable access to nutritious food and 4
essential resources for all community members, regardless of 5
socioeconomic status 6
From Temporary Assistance for Needy Families Federal Fund (1199) 7
(one-time) ..........................................................................................................$250,000 8
Section 11.295. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 32
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 Department of Social Services Federal Fund (1610) .....................................$23,637,0566
Section 11.297. To the Department of Social Services 1
For the Family Support Division 2
For funding a multi-modal, on-demand, micro-transit provision and/or 3
coordination in rural and suburban markets to enhance access to 4
health services (including, without limitation, mental, physical, 5
dental health services and pharmaceutical services); workforce 6
development training, to include educational opportunities, 7
apprenticeship programs, internships and other related workforce 8
programs and for mobility coordination, primarily for individuals 9
in areas of the state under-served by existing public transit 10
services and routes 11
From General Revenue Fund (1101) (one-time) .......................................................$2,000,000 12
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 (1199) .......................$100,000 8
Section 11.301. To the Department of Social Services 1
For a 501(c)(3) non-profit corporation with its principal place of business 2
located in a city with more than one hundred sixty thousand but 3
fewer than two hundred thousand inhabitants that currently 4
provides intensive family services to low-income families with 5
children in multiple counties in southwest Missouri through a 6
federal Regional Partnership Grant to increase its capacity to 7
provide intensive family services for low-income families with 8
children in southwest Missouri 9
From Temporary Assistance for Needy Families Federal Fund (1199) 10
(one-time) ..........................................................................................................$150,000 11
HCS HB 11 33
Section 11.302. To the Department of Social Services 1
For the Family Support Division 2
For an emergency assistance program organization focused on 3
strengthening food security, fostering education and workforce 4
development, and community development located in a county 5
with more than seven hundred thousand but fewer than eight 6
hundred thousand inhabitants 7
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$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 Department of Social Services Federal Fund (1610) .......................................$6,777,682 6
From Department of Social Services Federal Stimulus – 2021 7
Fund (2456) .............................................................................................. 3,748,530
8
Total .........................................................................................................................$10,526,212 9
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 Department of Social Services Federal Fund (1610) ...................................$101,620,002 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 (1199) .......................$275,000 8
Section 11.320. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 34
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 (1101) ............................................................................$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 (1101) .........................................................................$5,000,000 6
From Department of Social Services Federal Fund (1610) .........................................3,000,000 7
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,600,000 8
From Department of Social Services Federal Stimulus – 2021 9
Fund (2456) ......................................................................................................3,204,219 10
For emergency shelter services to assist victims of domestic violence 11
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 562,137
12
Total .........................................................................................................................$13,366,356 13
Section 11.326. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in a city not within a county to 3
provide civil legal aid and create opportunities to build resiliency 4
and advocate for justice 5
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$200,000 6
Section 11.327. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in a county with more than one 3
million inhabitants that provides a 39 bed domestic violence 4
program for abused women and their children, provided funds are 5
used to expand the organization’s capacity 6
From Temporary Assistance for Needy Families Federal Fund (1199) 7
(one-time) ..........................................................................................................$250,000 8
Section 11.330. To the Department of Social Services 1
For the Family Support Division 2 HCS HB 11 35
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 (1101) ..............................................................................$14,943 6
Personal Service ..................................................................................................293,537 7
Expense and Equipment ........................................................................... 100,049
8
From Victims of Crime Act Federal Fund (1146) ..........................................................393,586 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 (1146) ............................................... 500,000 13
Total (Not to exceed 5.00 F.T.E.) .................................................................................$908,529 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 (1101) (one-time) .....................................................$25,000,000 7
From Victims of Crime Act Federal Fund (1146) ............................................... 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 (1101) (including $1,250,000 one-time) ....................$3,000,000 6
From Department of Social Services Federal Stimulus – 2021 7
Fund (2456) .............................................................................................. 1,231,936 8
Total ...........................................................................................................................$4,231,9369
Section 11.350. To the Department of Social Services 1
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 .............................................................................................$1,937,752 5 HCS HB 11 36
Expense and Equipment ........................................................................... 1,738,275
6
From General Revenue Fund (1101) ...........................................................................3,676,027 7
Personal Service ...............................................................................................1,859,275 8
Expense and Equipment ........................................................................... 1,031,094 9
From Department of Social Services Federal Fund (1610) .........................................2,890,369 10
Personal Service 11
From Temporary Assistance for Needy Families Federal Fund (1199) .........................915,784 12
Expense and Equipment 13
From Department of Social Services Federal Stimulus – 2021 14
Fund (2456) ...........................................................................................................23,032 15
Expense and Equipment 16
From Third Party Liability Collections Fund (1120) ........................................... 55,944 17
Total (Not to exceed 75.43 F.T.E.) ............................................................................$7,561,156 18
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 .............................................................................................$5,420,472 6
Expense and Equipment (including $120,233 one-time) ......................... 283,899 7
From General Revenue Fund (1101) (Not to exceed 89.00 F.T.E.) ..........................$5,704,371 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
Personal Service ...........................................................................................$44,880,251 11
Expense and Equipment ........................................................................... 2,098,188 12
From General Revenue Fund (1101) .........................................................................46,978,439 13 HCS HB 11 37
Personal Service .............................................................................................42,626,701 14
Expense and Equipment ........................................................................... 3,192,497
15
From Department of Social Services Federal Fund (1610) .......................................45,819,198 16
Personal Service .............................................................................................14,716,590 17
Expense and Equipment ........................................................................... 1,818,397 18
From Temporary Assistance for Needy Families Federal Fund (1199) ....................16,534,987 19
Personal Service ....................................................................................................96,929 20
Expense and Equipment ........................................................................... 35,558 21
From Health Initiatives Fund (1275) ..............................................................................132,487 22
For recruitment and retention services 23
From General Revenue Fund (1101) ...........................................................................1,226,992 24
From Department of Social Services Federal Fund (1610) .........................................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 (1101) ..............................................................................750,000 31
For expanding the reach of the Foster Care Wellness Pilot Module 32
statewide 33
From General Revenue Fund (1101) ...........................................................................1,925,000 34
From Department of Social Services Federal Fund (1610) ................................. 1,925,000 35
Total (Not to exceed 1,781.86 F.T.E.) ...................................................................$116,393,111 36
Section 11.363. To the Department of Social Services 1
For the Children's Division 2
For Psychotropic Medication Reviews 3
For administration to monitor and track prescribed and administered 4
psychotropic medications to children in the custody of the 5
Children's Division, assist in the collection of medical records, 6
ensure informed consent of family members, provide secondary 7
reviews to prevent excessive dosages, and administer pre-service 8
and annual training to foster care case management staff and 9
resource providers 10 HCS HB 11 38
Personal Service ................................................................................................$250,134 11
Expense and Equipment (including $38,609 one-time) ........................... 84,377
12
From General Revenue Fund (1101) ..............................................................................334,511 13
Personal Service ....................................................................................................72,014 14
Expense and Equipment (including $11,116 one-time) ........................... 24,293
15
From Department of Social Services Federal Fund (1610) ..............................................96,307 16
Personal Service ....................................................................................................36,007 17
Expense and Equipment (including $5,558 one-time) ............................. 12,146
18
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 48,153 19
Total (Not to exceed 6.00 F.T.E.) .................................................................................$478,971 20
Section 11.364. To the Department of Social Services 1
For the Children's Division 2
For tuition assistance 3
Expense and Equipment 4
From General Revenue Fund (1101) ..............................................................................$77,000 5
Expense and Equipment 6
From Department of Social Services Federal Fund (1610) ................................. 231,000
7
Total ..............................................................................................................................$308,000 8
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 ................................................................................................$737,034 4
Expense and Equipment ........................................................................... 188,633 5
From General Revenue Fund (1101) ..............................................................................925,667 6
Personal Service ..................................................................................................296,653 7
Expense and Equipment ........................................................................... 74,559 8
From Department of Social Services Federal Fund (1610) ................................. 371,212 9
Total (Not to exceed 24.00 F.T.E.) ............................................................................$1,296,879 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 HCS HB 11 39
provided fifty percent (50%) flexibility is allowed between 6
Sections 11.360, 11.370, and 11.375 7
Personal Service .............................................................................................$2,668,643 8
Expense and Equipment ........................................................................... 213,573
9
From General Revenue Fund (1101) ...........................................................................2,882,216 10
Personal Service ..................................................................................................801,890 11
Expense and Equipment ........................................................................... 65,681 12
From Department of Social Services Federal Fund (1610) ................................. 867,571 13
Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,749,787 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 .............................................................................................$2,681,242 8
Expense and Equipment ........................................................................... 213,676 9
From General Revenue Fund (1101) ...........................................................................2,894,918 10
Personal Service ..................................................................................................826,117 11
Expense and Equipment ........................................................................... 65,695 12
From Department of Social Services Federal Fund (1610) ................................. 891,812 13
Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,786,730 14
Section 11.380. To the Department of Social Services 1
For the Children’s Division 2
For the development and integration of a new comprehensive child 3
welfare information system 4
From Department of Social Services Federal Fund (1610) .......................................$2,000,000 5
From Budget Stabilization Fund (1522) .............................................................. 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 HCS HB 11 40
For administrative staff expenses 5
Personal Service ..................................................................................................$55,294 6
Expense and Equipment (including $7,945 one-time) ............................. 20,476
7
From General Revenue Fund (1101) ................................................................................75,770 8
Personal Service ....................................................................................................55,295 9
Expense and Equipment (including $7,945 one-time) ............................. 20,476
10
From Department of Social Services Federal Fund (1610) ..............................................75,771 11
Personal Service ....................................................................................................12,288 12
Expense and Equipment ........................................................................... 4,551
13
From Temporary Assistance for Needy Families Federal Fund (1199) 14
(including $1,765 one-time) ..................................................................................16,839 15
For contracted training expenses 16
Expense and Equipment 17
From General Revenue Fund (1101) ...........................................................................1,087,513 18
From Department of Social Services Federal Fund (1610) ............................................590,243 19
For specialized investigation skills training 20
Expense and Equipment 21
From Department of Social Services Federal Stimulus – 2021 22
Fund (2456) .............................................................................................. 569,763
23
Total (Not to exceed 2.00 F.T.E.) ..............................................................................$2,415,899 24
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 ..................................................................................................$63,292 7
Expense and Equipment ........................................................................... 7,053 8
From General Revenue Fund (1101) ................................................................................70,345 9
Personal Service ....................................................................................................37,172 10
Expense and Equipment ........................................................................... 4,141 11
From Department of Social Services Federal Fund (1610) ................................. 41,313 12
Total (Not to exceed 1.00 F.T.E.) .................................................................................$111,658 13
HCS HB 11 41
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 – 2021 5
Fund (2456) .......................................................................................................$274,937 6
For grants to nonprofit organizations for statewide prevention and 7
education efforts concerning human trafficking through a 8
program that reaches public and charter schools 9
Expense and Equipment 10
From General Revenue Fund (1101) ................................................................... 150,000
11
Total ..............................................................................................................................$424,937 12
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 (1101) ............................................................................$518,893 7
From Department of Social Services Federal Fund (1610) ............................................518,894 8
Parent-Child Interaction Therapy (PCIT) 9
From General Revenue Fund (1101) ..............................................................................497,815 10
From Department of Social Services Federal Fund (1610) ............................................497,815 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 (1199) .........................106,671 14
Program Distribution 15
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 558,065 16
Total (Not to exceed 2.00 F.T.E.) ..............................................................................$2,698,153 17
Section 11.405. To the Department of Social Services 1
For the Children’s Division provided five percent (5%) 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 HCS HB 11 42
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 (1101) .......................................................................$15,268,036 10
From Department of Social Services Federal Fund (1610) .........................................9,796,892 11
From Title XIX - Federal Fund (1163) .............................................................................50,000 12
From Temporary Assistance for Needy Families Federal Fund (1199) .........................425,286 13
For crisis care 14
From General Revenue Fund (1101) ................................................................... 2,316,000
15
Total .........................................................................................................................$27,856,214 16
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 (1101) .........................................................................$1,081,076 5
From Department of Social Services Federal Fund (1610) ................................. 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 Department of Social Services Federal Fund (1610) (one-time) .....................$4,000,000 6
For the development and start-up of new prevention programs that meet 7
FFPSA criteria 8
From Department of Social Services Federal Fund (1610) (one-time) ............... 1,000,000 9
Total ...........................................................................................................................$5,000,000 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 five percent (5%) flexibility is allowed between 5 HCS HB 11 43
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 6
and 11.480 7
From General Revenue Fund (1101) .........................................................................$3,521,178 8
From Department of Social Services Federal Fund (1610) ............................................991,056 9
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,052,169 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
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 (1101) ..............................................................................183,385 21
From Department of Social Services Federal Fund (1610) ............................................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 25
Fund (1979) .............................................................................................. 15,000
26
Total ...........................................................................................................................$6,079,403 27
Section 11.425. To the Department of Social Services 1
For the Children’s Division 2
For foster care maintenance payments, provided five percent (5%) 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 (1101) .......................................................................$56,176,475 6
From Department of Social Services Federal Fund (1610) .......................................21,507,505 7
From Temporary Assistance for Needy Families Federal Fund (1199) ....................20,314,073 8
From Alternative Care Trust Fund (1905) .......................................................... 2,000,000 9
Total .........................................................................................................................$99,998,053 10
HCS HB 11 44
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 (1101) .........................................................................$4,566,746 5
From Department of Social Services Federal Fund (1610) ................................. 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 ten percent 4
(10%) flexibility is allowed between subsections within this 5
section 6
For placements in a Qualified Residential Treatment Program/non-7
Institution for Mental Disease (QRTP/non-IMD) designated 8
facilities 9
From General Revenue Fund (1101) .......................................................................$13,835,914 10
From Department of Social Services Federal Fund (1610) .........................................5,359,649 11
For placements in Qualified Residential Treatment Programs/Institution 12
for Mental Disease (QRTP/IMD) designated facilities 13
From General Revenue Fund (1101) ...........................................................................4,159,992 14
From Department of Social Services Federal Fund (1610) ................................. 680,912 15
Total .........................................................................................................................$24,036,467 16
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 five percent (5%) flexibility is allowed between 7
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 8
and 11.480 9
From General Revenue Fund (1101) .......................................................................$22,594,667 10
From Temporary Assistance for Needy Families Federal Fund (1199) ....................13,351,973 11
From Department of Social Services Federal Fund (1610) ................................. 7,310,026 12
Total .........................................................................................................................$43,256,666 13 HCS HB 11 45
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 (1101) ............................................................................$603,513 5
From Department of Social Services Federal Fund (1610) ................................. 372,934
6
Total ..............................................................................................................................$976,447 7
Section 11.450. To the Department of Social Services 1
For the Children’s Division 2
For foster parent support 3
Expense and Equipment 4
From General Revenue Fund (1101) .........................................................................$4,208,037 5
From Department of Social Services Federal Fund (1610) ................................. 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 (1101) ............................................................................$188,848 7
From Department of Social Services Federal Fund (1610) .........................................1,050,000 8
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 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 HCS HB 11 46
families, provided three percent (3%) flexibility is allowed from 11
this section to Section 11.905 12
From General Revenue Fund (1101) .......................................................................$35,251,584 13
From Department of Social Services Federal Fund (1610) ................................. 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 five percent (5%) flexibility is allowed between 5
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 6
and 11.480 7
From General Revenue Fund (1101) .......................................................................$55,211,954 8
From Department of Social Services Federal Fund (1610) .......................................51,994,222 9
From Temporary Assistance for Needy Families Federal Fund (1199) ....................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 (1101) .........................................................................19,850,562 16
From Department of Social Services Federal Fund (1610) .......................................15,895,630 17
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 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 Department of Social Services Federal Fund (1610) ..........................................$372,318 5
Section 11.475. To the Department of Social Services 1
For the Children's Division provided five percent (5%) 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 HCS HB 11 47
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 (1101) (including $250,000 one-time) .......................$3,448,434 8
From Department of Social Services Federal Fund (1610) .........................................5,807,580 9
From Temporary Assistance for Needy Families Federal Fund (1199) .........................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 (1101) (including $250,000 one-time) .........................3,309,828 15
From Department of Social Services Federal Fund (1610) .........................................4,686,171 16
From Temporary Assistance for Needy Families Federal Fund (1199) .........................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 (1101) (including $250,000 one-time) .........................2,995,302 20
From Department of Social Services Federal Fund (1610) .........................................3,889,565 21
From Temporary Assistance for Needy Families Federal Fund (1199) .........................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 (1101) ..............................................................................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 HCS HB 11 48
inhabitants and with a county seat with more than three hundred 39
but fewer than one thousand inhabitants 40
From General Revenue Fund (1101) ..............................................................................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 (1101) ..............................................................................500,000 45
For additional Behavioral Intervention Services in areas of need 46
From Department of Social Services Federal Fund (1610) ................................. 900,000
47
Total .........................................................................................................................$27,425,955 48
Section 11.480. To the Department of Social Services 1
For the Children’s Division 2
For independent living placements and transitional living services, 3
provided five percent (5%) 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 (1101) .........................................................................$1,947,584 7
From Department of Social Services Federal Fund (1610) .........................................4,171,219 8
For a non-profit organization with locations in a county with more than 9
two hundred sixty thousand but fewer than three hundred 10
thousand inhabitants and a county with more than thirty thousand 11
but fewer than thirty-five thousand inhabitants and with a county 12
seat with more than nine thousand but fewer than thirteen 13
thousand inhabitants that works to empower youth in foster care 14
and families in crisis to prevent the cycle of trauma, family 15
separation, and homelessness 16
From General Revenue Fund (1101) ..............................................................................500,000 17
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 500,000 18
Total ...........................................................................................................................$7,118,803 19
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 (1101) .........................................................................$2,249,475 5 HCS HB 11 49
From Department of Social Services Federal Fund (1610) .........................................1,700,000 6
From Health Initiatives Fund (1275) ................................................................... 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 (1101) ............................................................................$500,000 8
Section 11.491. To the Department of Social Services 1
For the Children’s Division 2
For a Child Assessment Center in a county with more than two hundred 3
sixty thousand but fewer than three hundred thousand inhabitants 4
From General Revenue Fund (1101) (one-time) .......................................................$3,000,000 5
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 Department of Social Services Federal Fund (1610) ..........................................$175,000 5
Section 11.500. To the Department of Social Services 1
For the Children’s Division 2
For Court Appointed Special Advocate (CASA) IV-E allowable training 3
costs 4
From Department of Social Services Federal Fund (1610) ..........................................$150,000 5
Section 11.505. To the Department of Social Services 1
For the Children’s Division 2
For the Child Abuse and Neglect Prevention Grant and Children’s Justice 3
Act Grant 4
From Department of Social Services Federal Fund (1610) (including 5
$900,782 one-time) ........................................................................................$1,251,341 6
Section 11.509. To the Department of Social Services 1 HCS HB 11 50
For the Children’s Division 2
For payments to one or more contractors to assist the Division with 3
application and administration of benefits on behalf of a child or 4
youth and to establish and administer accounts for a child or 5
youth which include but not limited to a special needs trust, a 6
pooled special needs trust, an ABLE account, or any other trust 7
account 8
From General Revenue Fund (1101) .........................................................................$1,356,992 9
From Department of Social Services Federal Fund (1610) ................................. 507,008
10
Total ...........................................................................................................................$1,864,000 11
Section 11.510. To the Department of Social Services 1
For the Children’s Division 2
For transactions involving personal funds of children to: transfer funds 3
to accounts set up for the child; to make payments directly to the 4
child; to return the funds to the corresponding funding agency; to 5
fund "Unmet needs", needs for which the division is not required 6
by law to provide financial support; or dispose of the funds as 7
otherwise required by law 8
From Alternative Care Trust Fund (1905) ...............................................................$14,000,000 9
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 .............................................................................................$1,082,499 5
Expense and Equipment ........................................................................... 81,097 6
From General Revenue Fund (1101) ...........................................................................1,163,596 7
Personal Service ..................................................................................................258,031 8
Expense and Equipment ........................................................................... 13,855 9
From Title XIX - Federal Fund (1163) ...........................................................................271,886 10
Personal Service ..................................................................................................964,705 11
Expense and Equipment ........................................................................... 86,779 12
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,051,484 13
Expense and Equipment 14
From Youth Services Treatment Fund (1843) ..................................................... 999 15 HCS HB 11 51
Total (Not to exceed 39.30 F.T.E.) ............................................................................$2,487,965 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 three percent (3%) flexibility is 6
allowed from this section to Section 11.905 7
Personal Service ...........................................................................................$25,609,486 8
Expense and Equipment (including $193,345 one-time) ......................... 1,269,481
9
From General Revenue Fund (1101) .........................................................................26,878,967 10
Personal Service ...............................................................................................5,224,309 11
Expense and Equipment (including $31,476 one-time) ........................... 3,138,715 12
From Title XIX - Federal Fund (1163) ........................................................................8,363,024 13
Personal Service ...............................................................................................1,142,963 14
Expense and Equipment ........................................................................... 1,125,033
15
From Department of Social Services Federal Fund (1610) .........................................2,267,996 16
Personal Service .............................................................................................13,084,401 17
Expense and Equipment ........................................................................... 1,514,715 18
From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,599,116 19
Personal Service ...............................................................................................3,989,772 20
Expense and Equipment ........................................................................... 3,854,832 21
From DOSS Educational Improvement Fund (1620) ..................................................7,844,604 22
Personal Service ..................................................................................................177,191 23
Expense and Equipment ........................................................................... 9,106
24
From Health Initiatives Fund (1275) ..............................................................................186,297 25
Expense and Equipment 26
From Youth Services Products Fund (1764) ......................................................................5,000 27
For overtime to non-exempt state employees and/or for paying otherwise 28
authorized personal service expenditures in lieu of such overtime 29
payments; non-exempt state employees identified by Section 30 HCS HB 11 52
105.935, RSMo, will be paid first with any remaining funds to be 31
used to pay overtime to any other state employees 32
From General Revenue Fund (1101) ...........................................................................1,131,426 33
For payment distribution of Social Security benefits received on behalf 34
of youth in care 35
From Division of Youth Services Child Benefits Fund (1727) ........................... 200,000
36
Total (Not to exceed 1,016.38 F.T.E.) .....................................................................$61,476,430 37
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 (1101) .........................................................................$3,479,486 6
From Gaming Commission Fund (1286) ............................................................. 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 .............................................................................................$4,494,469 5
Expense and Equipment ........................................................................... 6,203,101 6
From General Revenue Fund (1101) (including $500,000 one-time) .......................10,697,570 7
Personal Service ...............................................................................................8,820,170 8
Expense and Equipment ........................................................................... 10,187,642 9
From Department of Social Services Federal Fund (1610) (including 10
$500,000 one-time) ........................................................................................19,007,812 11
Personal Service ..................................................................................................470,015 12
Expense and Equipment ............................................................................ 1,286,088
13
From FMAP Enhancement - Expansion Fund (2466) .................................................1,756,103 14
Personal Service ..................................................................................................557,925 15
Expense and Equipment ........................................................................... 55,553 16
From Pharmacy Rebates Fund (1114) ............................................................................613,478 17
Personal Service ..................................................................................................521,260 18 HCS HB 11 53
Expense and Equipment ........................................................................... 488,041
19
From Third Party Liability Collections Fund (1120) ...................................................1,009,301 20
Personal Service ..................................................................................................134,152 21
Expense and Equipment ........................................................................... 232,708 22
From Federal Reimbursement Allowance Fund (1142) .................................................366,860 23
Personal Service ....................................................................................................33,918 24
Expense and Equipment ........................................................................... 356 25
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................34,274 26
Personal Service ..................................................................................................111,445 27
Expense and Equipment ........................................................................... 10,281 28
From Nursing Facility Quality of Care Fund (1271) ......................................................121,726 29
Personal Service ..................................................................................................559,405 30
Expense and Equipment ........................................................................... 41,385 31
From Health Initiatives Fund (1275) ..............................................................................600,790 32
Personal Service ....................................................................................................58,029 33
Expense and Equipment ........................................................................... 425,372
34
From Ground Emergency Medical Transportation Fund (1422) ....................................483,401 35
Expense and Equipment 36
From Life Sciences Research Trust Fund (1763) ...............................................................3,000 37
Personal Service 38
From Missouri Rx Plan Fund (1779) ..............................................................................440,936 39
Personal Service ....................................................................................................23,822 40
Expense and Equipment ........................................................................... 128,466 41
From Ambulance Service Reimbursement Allowance Fund (1958) ................... 152,288 42
Total (Not to exceed 239.70 F.T.E.) ........................................................................$35,287,539 43
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 HCS HB 11 54
percent (3%) flexibility is allowed from this section to Section 6
11.905 7
Expense and Equipment 8
From General Revenue Fund (1101) ............................................................................$461,917 9
From Department of Social Services Federal Fund (1610) .......................................12,214,032 10
From Pharmacy Rebates Fund (1114) ............................................................................497,648 11
From Third Party Liability Collections Fund (1120) ......................................................924,911 12
From Missouri Rx Plan Fund (1779) ................................................................... 62,947
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 ................................................................................................$768,288 4
Expense and Equipment (including $128,740 one-time) ......................... 3,348,176 5
From General Revenue Fund (1101) ...........................................................................4,116,464 6
Personal Service ..................................................................................................270,205 7
Expense and Equipment ........................................................................... 7,379,326 8
From Department of Social Services Federal Fund (1610) ................................. 7,649,531 9
Total (Not to exceed 16.00 F.T.E.) ..........................................................................$11,765,995 10
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 ................................................................................................$222,486 4
Expense and Equipment ........................................................................... 11,926 5
From General Revenue Fund (1101) ..............................................................................234,412 6
Personal Service ..................................................................................................448,619 7
Expense and Equipment ........................................................................... 23,632
8
From Department of Social Services Federal Fund (1610) ................................. 472,251 9
Total (Not to exceed 10.00 F.T.E.) ...............................................................................$706,663 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 Department of Social Services Federal Fund (1610) .......................................$4,250,000 6 HCS HB 11 55
From Third Party Liability Collections Fund (1120) ........................................... 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 System (MMIS) 3
For the operation of the information systems, provided five percent (5%) 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
Expense and Equipment 8
From General Revenue Fund (1101) (including $5,800,000 one-time) ..................$30,541,092 9
From Department of Social Services Federal Fund (1610) (including 10
$20,200,000 one-time) ...................................................................................94,389,495 11
From FMAP Enhancement – Expansion Fund (2466) ................................................2,416,534 12
From Uncompensated Care Fund (1108) ........................................................................430,000 13
From Health Initiatives Fund (1275) ...........................................................................1,591,687 14
For the operation of the Business Intelligence Solution – Enterprise Data 15
Warehouse (BIS-EDW) 16
Expense and Equipment 17
From General Revenue Fund (1101) ...........................................................................1,961,638 18
From Department of Social Services Federal Fund (1610) .........................................7,684,913 19
For the operation of the Beneficiary Support and Premiums Collections 20
Solution and Services (BSPC) – Enrollment Broker 21
Expense and Equipment 22
From General Revenue Fund (1101) ...........................................................................2,854,462 23
From Department of Social Services Federal Fund (1610) .........................................4,934,119 24
For the operation of the Clinical Management Services and Pharmacy 25
Claims and Prior Authorization (CMSP) 26
Expense and Equipment 27
From General Revenue Fund (1101) ...........................................................................5,138,668 28
From Department of Social Services Federal Fund (1610) .......................................15,303,167 29
For the operation of the pharmacy system and support services-Pharmacy 30
Solution 31
Expense and Equipment 32
From General Revenue Fund (1101) ...........................................................................1,500,000 33 HCS HB 11 56
From Department of Social Services Federal Fund (1610) .......................................13,500,000 34
For the operation of the Managed Care Contract Management Tool 35
Expense and Equipment 36
From General Revenue Fund (1101) ..............................................................................700,000 37
From Department of Social Services Federal Fund (1610) ................................. 6,300,000
38
Total .......................................................................................................................$189,245,77539
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
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 (1101) (including $2,000,000 one-time) ....................$4,500,000 31 HCS HB 11 57
From Department of Social Services Federal Fund (1610) (including 32
$2,000,000 one-time) ............................................................................... 4,500,000
33
Total ...........................................................................................................................$9,000,000 34
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 (1101) .........................................................................$5,000,000 15
From Department of Social Services Federal Fund (1610) ................................. 45,000,000 16
Total .........................................................................................................................$50,000,000 17
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 Department of Social Services Federal Fund (1610) .......................................$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 (1101) .....................................................................$167,733,904 11
From Title XIX – Federal Fund (1163) ...................................................................748,801,531 12 HCS HB 11 58
From Pharmacy Rebates Fund (1114) .....................................................................260,835,622 13
From Third Party Liability Collections Fund (1120) ...................................................4,217,574 14
From Pharmacy Reimbursement Allowance Fund (1144) ........................................35,376,122 15
From Health Initiatives Fund (1275) ...........................................................................3,543,350 16
From Premium Fund (1885) ........................................................................................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 (1101) ................................................................... 383,477,210
22
Total ....................................................................................................................$1,607,785,31323
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 (1101) .........................................................................$1,235,335 5
From Missouri Rx Plan Fund (1779) ................................................................... 1,188,774 6
Total ...........................................................................................................................$2,424,1097
Section 11.710. To the Department of Social Services 1
For the MO HealthNet Division 2
For Pharmacy Reimbursement Allowance payments as provided by law 3
From Title XIX – Federal Fund (1163) ...................................................................$37,990,000 4
From Pharmacy Reimbursement Allowance Fund (1144) .................................. 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 HCS HB 11 59
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 (1101) .....................................................................$205,121,774 15
From Title XIX – Federal Fund (1163) ...................................................................376,936,351 16
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................10,000 17
From Health Initiatives Fund (1275) ...........................................................................1,427,081 18
From Third Party Liability Collections Fund (1120) ......................................................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 23
From General Revenue Fund (1101) .........................................................................75,180,484 24
From Title XIX – Federal Fund (1163) ............................................................... 140,455,016
25
Total .......................................................................................................................$799,371,752 26
Section 11.720. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Program for All-Inclusive Care for the Elderly (PACE), provided 3
ten percent (10%) flexibility is allowed between this subsection 4
and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 5
11.755, 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, 6
and 11.840 7
From General Revenue Fund (1101) .........................................................................$6,155,311 8
From Title XIX – Federal Fund (1163) ............................................................... 10,776,200 9
Total .........................................................................................................................$16,931,51110
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 (1101) .........................................................................$4,795,230 9
From Title XIX – Federal Fund (1163) .......................................................................9,125,600 10
From Health Initiatives Fund (1275) ................................................................... 71,162 11 HCS HB 11 60
Total .........................................................................................................................$13,991,992 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 (1101) .....................................................................$130,235,217 10
From Title XIX – Federal Fund (1163) ............................................................... 251,875,949
11
Total .......................................................................................................................$382,111,16612
Section 11.735. To the Department of Social Services 1
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 (1101) .....................................................................$336,793,119 14
From Title XIX – Federal Fund (1163) ...................................................................728,751,844 15
From Uncompensated Care Fund (1108) ...................................................................58,516,478 16
From Third Party Liability Collections Fund (1120) ...................................................6,992,981 17
For value-based incentive payments to nursing facilities 18
From General Revenue Fund (1101) .........................................................................12,271,136 19
From Title XIX – Federal Fund (1163) .....................................................................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 HCS HB 11 61
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 (1101) ...........................................................................1,101,019 26
From Title XIX – Federal Fund (1163) .......................................................................1,889,495 27
From Health Initiatives Fund (1275) ................................................................... 159,305
28
Total ....................................................................................................................$1,168,982,44429
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 Title XIX – Federal Fund (1163) .................................................................$244,303,447 6
From Nursing Facility Reimbursement Allowance Fund (1196) ........................ 128,678,915 7
Total .......................................................................................................................$372,982,362 8
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 (1101) .......................................................................................$1 6
From Title XIX – Federal Fund (1163) ............................................................... 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 Title XIX – Federal Fund (1163) .....................................................................$7,080,493 6
From Long Term Support UPL Fund (1724) ....................................................... 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 HCS HB 11 62
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 12
From General Revenue Fund (1101) .....................................................................$117,974,232 13
From Title XIX – Federal Fund (1163) ...................................................................253,101,491 14
From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,414,043 15
From Health Initiatives Fund (1275) ..............................................................................194,881 16
From Ambulance Service Reimbursement Allowance Fund (1958) .........................10,159,809 17
For non-emergency medical transportation, 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 (1101) .........................................................................21,390,544 22
From Title XIX – Federal Fund (1163) .....................................................................40,273,219 23
For the federal share of MO HealthNet reimbursable non-emergency 24
medical transportation for public entities 25
From Title XIX – Federal Fund (1163) ............................................................... 2,555,469
26
Total .......................................................................................................................$447,063,688 27
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 Title XIX – Federal Fund (1163) ...................................................................$54,286,596 4
From Ground Emergency Medical Transportation Fund (1422) ......................... 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 HCS HB 11 63
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 (1101) .........................................................................$4,727,278 20
From Title XIX – Federal Fund (1163) ............................................................... 7,523,252
21
Total .........................................................................................................................$12,250,53022
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 (1101) .......................................................................$25,279,889 21
From Title XIX – Federal Fund (1163) ................................................................1,240,234,488 22 HCS HB 11 64
From Uncompensated Care Fund (1108) ...................................................................33,848,436 23
From Health Initiatives Fund (1275) .........................................................................18,590,380 24
From Federal Reimbursement Allowance Fund (1142) ..........................................155,083,260 25
From Healthy Families Trust Fund (1625) ................................................................14,435,373 26
From Life Sciences Research Trust Fund (1763) ......................................................26,697,272 27
From Medicaid Stabilization Fund (1809) (one-time) .............................................421,507,198 28
From Premium Fund (1885) ........................................................................................9,259,854 29
From Ambulance Service Reimbursement Allowance Fund (1958) ...........................2,892,711 30
For supplemental Medicare parity payments to primary care physicians 31
relating to maternal-fetal medicine, neonatology, and pediatric 32
cardiology 33
From General Revenue Fund (1101) ...........................................................................1,498,587 34
From Title XIX – Federal Fund (1163) .......................................................................2,854,045 35
For supplemental payments to Tier 1 Safety Net Hospitals, or to any 36
affiliated physician group that provides physicians for any Tier 1 37
Safety Net Hospital, for physician and other healthcare 38
professional services as approved by the Centers for Medicare 39
and Medicaid Services 40
From Title XIX – Federal Fund (1163) .....................................................................44,699,437 41
From Department of Social Services Intergovernmental Transfer Fund 42
(1139) .............................................................................................................24,433,204 43
For payments to providers of public ground emergency medical 44
transportation, pursuant to Sections 208.1030 and 208.1032 45
RSMo., when providing services to persons paid for under this 46
section 47
From Title XIX – Federal Fund (1163) .....................................................................25,954,375 48
From Ground Emergency Medical Transportation Fund (1422) ......................... 13,670,624
49
Total ....................................................................................................................$2,060,939,13350
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 HCS HB 11 65
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 (1101) .....................................................................$112,885,071 12
From Title XIX – Federal Fund (1163) ...................................................................209,040,971 13
From Federal Reimbursement Allowance Fund (1142) ............................................21,102,611 14
From Ambulance Service Reimbursement Allowance Fund (1958) ..............................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 Title XIX – Federal Fund (1163) .......................................................................1,760,313 20
From Ground Emergency Medical Transportation Fund (1422) ......................... 927,188
21
Total .......................................................................................................................$346,016,15422
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 (1101) .......................................................................$62,217,790 16
From Title XIX – Federal Fund (1163) ...................................................................343,426,089 17
From Federal Reimbursement Allowance Fund (1142) ..........................................112,216,293 18
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................15,709 19
For rate increases for inpatient hospital psychiatric care 20
From General Revenue Fund (1101) ...........................................................................8,000,000 21 HCS HB 11 66
From Title XIX – Federal Fund (1163) .....................................................................16,500,000 22
From Federal Reimbursement Allowance Fund (1142) .................................................500,000 23
For Safety Net Payments 24
From Healthy Families Trust Fund (1625) ................................................................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 Title XIX – Federal Fund (1163) ..........................................................................200,000 33
From Federal Reimbursement Allowance Fund (1142) .................................................200,000 34
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 Title XIX – Federal Fund (1163) ..........................................................................215,000 39
From Federal Reimbursement Allowance Fund (1142) ...................................... 215,000
40
Total .......................................................................................................................$574,071,32541
Section 11.785. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Transformation of Rural Community Health (ToRCH) Rural 3
Hospital Health Hub 4
From General Revenue Fund (1101) .........................................................................$3,750,000 5
From Title XIX – Federal Fund (1163) .......................................................................7,500,000 6
From Federal Reimbursement Allowance Fund (1142) ...................................... 3,750,000 7
Total .........................................................................................................................$15,000,000 8
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 HCS HB 11 67
for services that are not currently matched with federal Medicaid 7
payments 8
From Title XIX – Federal Fund (1163) ...................................................................$17,613,590 9
From Department of Social Services Intergovernmental Transfer Fund 10
(1139) ....................................................................................................... 1,709,202
11
Total .........................................................................................................................$19,322,792 12
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 (1101) ............................................................................$757,732 6
For a community health worker initiative that focuses on providing 7
casework services to high utilizers of MO HealthNet Services 8
From General Revenue Fund (1101) ...........................................................................2,500,000 9
From Department of Social Services Federal Fund (1610) .........................................2,500,000 10
For statewide women and minority health care outreach programs 11
Expense and Equipment 12
From General Revenue Fund (1101) ...........................................................................2,029,796 13
From Department of Social Services Federal Fund (1610) ................................. 2,029,796 14
Total ...........................................................................................................................$9,817,324 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 (1101) .........................................................................$1,000,000 7
From Department of Social Services Federal Fund (1610) ............................................250,000 8
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,100,000 9
For a grant program for a substance abuse prevention network 10
From General Revenue Fund (1101) ...........................................................................1,000,000 11
From Department of Social Services Federal Fund (1610) ............................................250,000 12
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,100,000 13 HCS HB 11 68
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 (1101) .........................................................................$1,918,645 9
From Department of Social Services Federal Fund (1610) ................................. 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
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 (1101) .........................................................................$6,142,744 7
From Title XIX – Federal Fund (1163) .....................................................................21,244,936 8
From Federal Reimbursement Allowance Fund (1142) ...................................... 7,893,011 9
Total .........................................................................................................................$35,280,69110
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 (1101) ............................................................................$404,685 7
From Title XIX – Federal Fund (1163) ............................................................... 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 HCS HB 11 69
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 Title XIX – Federal Fund (1163) ..............................................................$1,009,829,930 12
From Title XXI – Children’s Health Insurance Program Federal Fund 13
(1159) ...........................................................................................................103,540,136 14
From Federal Reimbursement Allowance Fund (1142) ...................................... 538,602,211
15
Total ....................................................................................................................$1,651,972,277 16
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
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 (1101) .....................................................................$121,000,402 25
From Title XXI – Children’s Health Insurance Program Federal Fund 26 HCS HB 11 70
(1159) ...........................................................................................................383,898,531 27
From Federal Reimbursement Allowance Fund (1142) ..............................................7,719,204 28
For payments to providers of public ground emergency medical 29
transportation, pursuant to Sections 208.1030 and 208.1032 30
RSMo., when providing services to persons paid for under this 31
section 32
From Title XXI – Children’s Health Insurance Program Federal Fund 33
(1159) ...............................................................................................................1,896,325 34
From Ground Emergency Medical Transportation Fund (1422) ......................... 603,675
35
Total .......................................................................................................................$515,118,13736
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
percent (3%) flexibility is allowed from this section to Section 8
11.905 9
From General Revenue Fund (1101) .......................................................................$26,969,657 10
From Title XXI – Children’s Health Insurance Program Federal Fund 11
(1159) ....................................................................................................... 81,266,553
12
Total .......................................................................................................................$108,236,21013
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 (1101) ............................................................................$242,525 6
From Title XIX - Federal Fund (1163) ................................................................ 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 HCS HB 11 71
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
From General Revenue Fund (1101) .......................................................................$24,840,169 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 Title XIX - Adult Expansion Federal Fund (1358) ...................................$3,762,395,040 5
From FMAP Enhancement – Expansion Fund (2466) ............................................352,493,937 6
From Pharmacy Reimbursement Allowance Fund (1144) ..........................................1,693,020 7
From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,580,152 8
From Ambulance Service Reimbursement Allowance Fund (1958) ..............................565,267 9
From Federal Reimbursement Allowance Fund (1142) ............................................61,825,313 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 Title XIX - Adult Expansion Federal Fund (1358) ..........................................43,697,736 16 HCS HB 11 72
From Department of Social Services Intergovernmental Transfer Fund 17
(1139) ...............................................................................................................4,855,304 18
For payments to the Department of Mental Health for Community 19
Psychiatric Rehabilitation (CPR) services, Comprehensive 20
Substance Abuse Treatment and Rehabilitation (CSTAR) 21
services, Targeted Case Management (TCM) for behavioral 22
health services, and Certified Community Behavioral Health 23
Organizations (CCBHO) for MO HealthNet participants and the 24
uninsured 25
From Title XIX - Adult Expansion Federal Fund (1358) ........................................286,209,702 26
From Department of Social Services Intergovernmental Transfer Fund 27
(1139) .............................................................................................................31,801,078 28
For payments to providers of public ground emergency medical 29
transportation, pursuant to Sections 208.1030 and 208.1032 30
RSMo., when providing services to persons paid for under this 31
section 32
From Title XIX - Adult Expansion Federal Fund (1358) ..........................................15,918,750 33
From Ground Emergency Medical Transportation Fund (1422) ......................... 1,768,750
34
Total ....................................................................................................................$4,564,804,049 35
Section 11.850. To the Department of Social Services 1
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 5
(1139) .........................................................................................................$137,074,165 6
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 Title XIX - Federal Fund (1163) ..................................................................$613,086,698 10 HCS HB 11 73
From Department of Social Services Intergovernmental Transfer Fund 11
(1139) ....................................................................................................... 312,731,712
12
Total .......................................................................................................................$925,818,410 13
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 (1101) .......................................................................$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 (1144) ......................................$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 (1101) .......................................................................$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 (1958) .......................$20,837,332 4
Section 11.880. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the Federal 2
Reimbursement Allowance Fund 3
From General Revenue Fund (1101) .....................................................................$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 (1142) ........................................$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 (1101) .....................................................................$210,950,510 4
Section 11.895. To the Department of Social Services 1 HCS HB 11 74
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Nursing Facility Reimbursement Allowance Fund (1196) ..........................$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 (1196) ..............................$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 (1101) .......................................................................................$1 6
PART 2
Section 11.2005. To the Department of Social Services 1
In reference to Section 11.080 of Part 1 of this act: 2
No funds shall be expended in furtherance of reimbursement rates 3
greater than $17 per day. 4
Section 11.2010. To the Department of Social Services 1
In reference to Section 11.155 of Part 1 of this act: 2
No funds shall be expended in furtherance of contract rates 3
greater than the rate in effect on January 1, 2025. 4
Section 11.2015. To the Department of Social Services 1
In reference to Section 11.200 of Part 1 of this act: 2
No funds shall be expended in furtherance of Blind Pension rates 3
greater than $917 per month and $762 per month for 4
Supplemental Aid to the Blind. 5
Section 11.2020. To the Department of Social Services 1 HCS HB 11 75
In reference to Section 11.335 of Part 1 of this act: 2
If program revenue sources are reduced, the Department shall 3
work with the VOCA stakeholder group to determine decreases 4
in award allocations. Unexpended funds shall be used to support 5
future contract awards. The Department shall exercise its ability, 6
through federal VOCA regulations, to waive all local match 7
requirements for service providers. 8
Section 11.2025. To the Department of Social Services 1
In reference to Sections 11.405, 11.420, 11.425, 11.430, 11.435, 2
11.440, 11.460, 11.465, 11.475, 11.555, 11.755, 11.775, 11.765, 3
11.780 and 11.810 of Part 1 of this act: 4
No funds shall be expended in furtherance of provider rates 5
greater than the rate in effect on January 1, 2025.6
Section 11.2030. To the Department of Social Services 1
In reference to Section 11.420 of Part 1 of this act: 2
No funds shall be expended in furtherance of outdoor learning 3
foster care program provider rates greater than $258 per day. 4
Section 11.2035. To the Department of Social Services 1
In reference to Sections 11.430, 11.755, and 11.775 of Part 1 of 2
this act: 3
No funds shall be expended in furtherance of Therapeutic Foster 4
Care provider rates greater than: $173.08 per day for Level 1, 5
$262.02 per day for Level II.6
Section 11.2040. To the Department of Social Services 1
In reference to Sections 11.435, 11.755, and 11.775 of Part 1 of 2
this act: 3
No funds shall be expended in furtherance of QRTP/non-IMD 4
and QRTP/IMD rates greater than: $194.47 per day for Level II, 5
$239.16 per day for Level III, $253.80 per day for Level IV. 6
Section 11.2045. To the Department of Social Services 1
In reference to Sections 11.435, 11.440, 11.755, and 11.775 of 2
Part 1 of this act: 3 HCS HB 11 76
Expenses for children placed in a residential treatment facility 4
shall be covered for placements ordered by the court and not 5
recommended by an independent assessor. 6
Section 11.2050. To the Department of Social Services 1
In reference to Sections 11.440 and 11.780 of Part 1 of this act: 2
No funds shall be expended in furtherance of Psychiatric 3
Residential Treatment Facility (PRTF) provider rates greater than 4
$471.46 per day. 5
Section 11.2055. To the Department of Social Services 1
In reference to Section 11.715 of Part 1 of this act: 2
No funds shall be expended in furtherance of physician provider 3
rates greater than the rate in effect on January 1, 2024, except 4
rates for Certified Community Behavioral Health Clinics, for 5
which no funds shall be expended in furtherance of actuarial rates 6
greater than those approved by the Department of Mental Health, 7
and further excepting rates for autism services, for which no 8
funds shall be expended in furtherance of autism rates paid by the 9
Department of Mental Health on January 1, 2025, and further 10
excepting independent lab rates, for which no funds shall be 11
expended in furtherance of 90% of the calendar year 2023 12
Medicare allowed rate, and further excepting ophthalmologist 13
rates, for which no funds shall be expended in furtherance of 85% 14
of the calendar year 2023 Medicare allowed rate. 15
Section 11.2060. To the Department of Social Services 1
In reference to Section 11.725 of Part 1 of this act: 2
No funds shall be expended in furtherance of dental provider 3
rates greater than the rate in effect on January 1, 2025, except for 4
dental anesthesia codes, for which no funds shall be expended in 5
furtherance of 80% of the 50th percentile of the comparable 6
Usual Customary and Reasonable (UCR) rates on January 1, 7
2024, and further excepting dentist extraction rates, for which no 8
funds shall be expended in furtherance of dentist extraction codes 9
to 38.5% of the 50th percentile of the comparable UCR rates on 10
January 1, 2024. 11
Section 11.2065. To the Department of Social Services 1 HCS HB 11 77
In reference to Sections 11.735 and 11.740 of Part 1 of this act: 2
No funds shall be expended in furtherance of nursing facility 3
provider rates greater than the rebased rate, in the aggregate, 4
determined by the FY2022 nursing facility cost reports, excepting 5
case mix index adjustments and value based payment 6
adjustments. No funds shall be expended in furtherance of home 7
health provider rates greater than $12.42 per visit of the rate in 8
effect on January 1, 2024. No funds shall be expended for 9
Certified Nursing Assistant (CNA) training reimbursement 10
greater than $1,500 per enrollee. 11
Section 11.2070. To the Department of Social Services 1
In reference to Section 11.755 of Part 1 of this act: 2
No funds shall be expended in furtherance of rehabilitation and 3
specialty provider rates greater than the rate in effect on January 4
1, 2025, except providers of non-emergency medical 5
transportation for MO HealthNet and Department of Mental 6
Health for which no funds shall be expended in furtherance of 7
provider rates greater than the lower bound actuarial soundness 8
rate, and further excepting providers of hospice care, for which 9
no funds shall be expended in furtherance of provider rates 10
greater than 2.5% for routine home care, continuous care, 11
inpatient respite care, and general inpatient care greater than the 12
blended rate in effect on January 1, 2025, and for which no funds 13
shall be expended in furtherance of rates no greater than 95% of 14
the nursing facility per diem rate for room and board for services 15
provided in a nursing facility, and further excepting air 16
ambulance provider rates for whom no funds shall be expended 17
in furtherance of provider rates greater than 90% of the Medicare 18
calendar year 2024 rate from the rate in effect on December 30, 19
2023. 20
Section 11.2075. To the Department of Social Services 1
In reference to Sections 11.770 and 11.775 of Part 1 of this act: 2
No funds shall be expended in furtherance of managed care 3
contract rates greater than the lower bound actuarial soundness 4
rate. 5
Section 11.2080. To the Department of Social Services
1 HCS HB 11 78
In reference to Sections 11.780 and 11.820 in Part 1 of this act: 2
Provided that in-patient Medicaid psychiatric free-standing 3
hospitals have a minimum rate equivalent to the state fiscal year 4
2022 weighted average of the daily rate. 5
Section 11.2085. To the Department of Social Services 1
In reference to Sections 11.780 and 11.820 of Part 1 of this act: 2
No funds shall be expended for out-of-state payments. 3
Section 11.2090. To the Department of Social Services 1
In reference to Sections 11.780 and 11.820 of Part 1 of this act: 2
No funds shall be expended in furtherance of the outpatient 3
hospital services fee schedule greater than 3% of the rate in effect 4
January 1, 2025. 5
Section 11.2095. To the Department of Social Services 1
In reference to Section 11.815 of Part 1 of this act: 2
No funds shall be expended in furtherance of a $4.69 PMPM to 3
the Care Coordination PMPM component to advance the 4
management of social determinants for health home participants. 5
Section 11.2100. To the Department of Social Services 1
In reference to all sections except for Section 11.845 in Part 1 of 2
this act: 3
No funds shall be expended for program distributions related to 4
Section 36(c) of Article IV of the Missouri Constitution 5
PART 3
Section 11.3005. To the Department of Social Services 1
In reference to Section 11.420 of Part 1 and Part 2 of this act: 2
Special expenses for clothing allowances shall be paid at least 3
quarterly. 4
Section 11.3010. To the Department of Social Services 1
In reference to Sections 11.615 and 11.625 of Part 1 and Part 2 2
of this act: 3
The Department shall provide the House Appropriations and 4
Senate Appropriations Offices of the General Assembly access to 5 HCS HB 11 79
department-wide data warehouses and analytics platforms not 6
otherwise available to the General Assembly and necessary to 7
make data-drive decisions. This section shall not be construed 8
to compel the release of protected health information or 9
individually identifiable data. 10
Section 11.3015. To the Department of Social Services 1
In reference to Sections 11.770 and 11.775 of Part 1 and Part 2 2
of this act: 3
Contract changes shall be provided in writing, prior to 4
submission to the Centers for Medicare and Medicaid Services, 5
to the House Budget and Senate Appropriation Committee 6
Chairs. 7
Section 11.3020. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written notification, prior to 3
submission to the federal government, of state plans and state 4
plan amendments, grant applications, and Medicaid waivers to 5
the House Budget and Senate Appropriation Committee Chairs. 6
The Department shall include in the notification the actual 7
documents submitted to the federal government, as well as the 8
federal government’s responses when received. 9
Section 11.3025. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
In reference to the Alternative Care Trust Fund (0905), the 3
Department shall provide a quarterly accounting of the money to 4
the parents of the child for whose benefit the funds have been 5
received by the Department; to the guardian ad litem; and to the 6
child, if the child is 15 years or older. 7
Section 11.3030. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written documentation of rate 3
setting, rate studies, time surveys, time studies, and random 4
moment time studies, and the federal and state share fiscal impact 5
estimates, including Title IV-E Foster Care eligibility and 6 HCS HB 11 80
participation rates to the House Budget and Senate Appropriation 7
Committee Chairs. 8
Section 11.3035. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written notification and 3
correspondence from the federal government of non-compliance 4
with federal programs or grants to the House Budget and Senate 5
Appropriation Committee Chairs. 6
Section 11.3040. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide copies of financial reports and 3
public assistance cost allocation plans submitted to the federal 4
government and supporting cash on hand reports, by grant, to the 5
House Budget and Senate Appropriation Committee Chairs. 6
Section 11.3045. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide monthly expenditures and 3
projections for Child Welfare programs and Medicaid programs 4
for the current state fiscal year and next state fiscal year to the 5
House Budget and Senate Appropriation Committee Chairs on a 6
monthly basis. 7
Bill Totals
General Revenue Fund (2,532.82 F.T.E.) ...........................................................$2,482,508,360
Federal Funds (3,773.39 F.T.E.) .........................................................................12,507,036,536
Other Funds (365.84 F.T.E.) ............................................................................... 1,760,004,213
Total (6,672.05 F.T.E.) .....................................................................................$16,749,549,109