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FIRST REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE FOR
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 10
0010H.06T 103RD GENERAL ASSEMBLY
2025
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Mental Health, the Department of Health and Senior Services, and the several divisions
and programs thereof, and the Missouri Health Facilities Review Committee 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:
1 There is appropriated out of the State Treasury, to be expended only as provided in
2 Article IV, Section 28 of the Constitution of Missouri for the purpose of funding each
3 department, division, agency, fund transfer, and program described herein, for the item or items
4 stated, and for no other purpose whatsoever, chargeable to the fund designated for the period
5 beginning July 1, 2025, and ending June 30, 2026, as follows:
PART 1
1 Section 10.000. Each appropriation in this act shall consist of the item or
2 items in each section of Part 1 of this act, for the amount and
3 purpose and from the fund designated in each section of Part 1,
4 as well as all additional clarifications of purpose in Part 2 of this
5 act that make reference by section to said item or items in Part 1.
6 Any clarification of purpose in Part 2 shall state the section or
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7 sections in Part 1 to which it attaches and shall, together with the
8 language of said section(s) in Part 1, form the complete statement
9 of purpose of the appropriation. As such, the provisions of Part
10 2 of this act shall not be severed from Part 1, and if any
11 clarification of purpose in Part 2 is for any reason held to be
12 invalid, such decision shall invalidate all of the appropriations in
13 this act of which said clarification of purpose is a part. Part 3 of
14 this act shall consist of guidance to the Department of Mental
15 Health and the Department of Health and Senior Services in
16 implementing the appropriations found in Part 1 and Part 2 of this
17 act. An appropriation may be comprised in whole or in part of a
18 one-time amount, and such one-time amount shall be construed
19 to be a component part of, and not in addition to, the stated
20 appropriation amount. Any amount of an appropriation identified
21 as “one-time” in this act shall not be considered an addition to
22 any ongoing core appropriation(s) in future fiscal periods beyond
23 June 30, 2026. Any amount identified as one-time may, however,
24 be requested in any future fiscal period as a new decision item.
1 Section 10.005. To the Department of Mental Health
2 For the Office of the Director, provided three percent (3%) flexibility is
3 allowed from this section to Section 10.575
4 Personal Service................................................................................................$630,333
5 Annual salary adjustment in accordance with Section 105.005,
6 RSMo ....................................................................................................................22,000
7 Expense and Equipment........................................................................... 20,783
8 From General Revenue Fund (1101) ..............................................................................673,116
9 Personal Service..................................................................................................105,698
10 Expense and Equipment........................................................................... 53,805
11 From Department of Mental Health Federal Fund (1148)................................... 159,503
12 Total (Not to exceed 7.82 F.T.E.) .................................................................................$832,619
1 Section 10.010. To the Department of Mental Health
2 For the Office of the Director
3 For paying overtime to state employees. Nonexempt state employees
4 identified by Section 105.935, RSMo, will be paid first with any
5 remaining funds being used to pay overtime to any other state
6 employees
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7 Personal Service
8 From General Revenue Fund (1101) .........................................................................$1,401,586
1 Section 10.015. To the Department of Mental Health
2 For the Office of the Director
3 For contracted staffing for: Fulton State Hospital, Northwest Missouri
4 Psychiatric Rehabilitation Center, the Forensic Treatment Center,
5 Hawthorn Children’s Psychiatric Hospital, Higginsville
6 Habilitation Center, Northwest Community Services, and
7 Southeast Missouri Residential Services
8 Expense and Equipment
9 From Department of Mental Health Federal Fund (1148) (one-time) .....................$26,979,316
1 Section 10.020. To the Department of Mental Health
2 For the Office of the Director
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 Personal Service.............................................................................................$6,518,909
6 Expense and Equipment (including $700,000 one-time)......................... 1,060,560
7 From General Revenue Fund (1101) ...........................................................................7,579,469
8 Personal Service...............................................................................................1,317,826
9 Expense and Equipment........................................................................... 794,441
10 From Department of Mental Health Federal Fund (1148)...........................................2,112,267
11 To procure and implement a multi-year, vendor-hosted,
12 integrated commercial off the shelf electronic health record
13 system for use in all of the department’s hospitals and facilities
14 Personal Service..................................................................................................648,233
15 Expense and Equipment........................................................................... 3,490,054
16 From General Revenue Fund (1101) ................................................................... 4,138,287
17 Total (Not to exceed 126.55 F.T.E.) ........................................................................$13,830,023
1 Section 10.025. To the Department of Mental Health
2 For the Office of the Director
3 For staff training, provided ten percent (10%) flexibility is allowed from
4 personal service to expense and equipment and three percent
5 (3%) flexibility is allowed from this section to Section 10.575
6 Expense and Equipment
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7 From General Revenue Fund (1101) ............................................................................$659,140
8 Personal Service..................................................................................................231,677
9 Expense and Equipment........................................................................... 290,481
10 From Department of Mental Health Federal Fund (1148)..............................................522,158
11 For the Caring for Missourians' Mental Health Initiative
12 Expense and Equipment
13 From Department of Mental Health Federal Fund (1148)................................... 551,705
14 Total ...........................................................................................................................$1,733,003
1 Section 10.030. To the Department of Mental Health
2 For the Office of the Director
3 For Employee Support Resources
4 For support services to DMH state operated facilities and office staff
5 Personal Service................................................................................................$396,636
6 Expense and Equipment........................................................................... 1,269,650
7 From Department of Mental Health Federal Fund (1148) (Not to exceed
8 5.00 F.T.E.) ....................................................................................................$1,666,286
1 Section 10.035. To the Department of Mental Health
2 For the Office of the Director
3 For funding insurance, private pay, licensure fee, and/or Medicaid
4 refunds by state facilities operated by the Department of Mental
5 Health
6 From General Revenue Fund (1101) ............................................................................$205,000
7 For refunds
8 From Department of Mental Health Federal Fund (1148)..............................................500,000
9 From Mental Health Interagency Payments Fund (1109)......................................................100
10 From Mental Health Intergovernmental Transfer Fund (1147) .............................................100
11 From Compulsive Gamblers Fund (1249) .............................................................................100
12 From Health Initiatives Fund (1275) .....................................................................................100
13 From Mental Health Earnings Fund (1288)......................................................................50,000
14 From Habilitation Center Room and Board Fund (1435) .................................................10,000
15 From Inmate Fund (1540) ......................................................................................................100
16 From Mental Health Trust Fund (1926)............................................................................25,000
17 From DMH Local Tax Matching Fund (1930) ...............................................................150,000
18 For the transfer payment of refunds set off against debts as required by
19 Section 143.786, RSMo
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20 From Debt Offset Escrow Fund (1753) ............................................................... 25,000
21 Total ..............................................................................................................................$965,500
1 Section 10.040. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the Mental
3 Health Trust Fund
4 From Abandoned Fund Account (1863) .......................................................................$150,000
1 Section 10.045. To the Department of Mental Health
2 For the Office of the Director
3 For receipt and disbursement of donations and gifts which may become
4 available to the Department of Mental Health during the year
5 (excluding federal grants and funds)
6 Personal Service................................................................................................$587,347
7 Expense and Equipment........................................................................... 1,925,000
8 From Mental Health Trust Fund (1926) (Not to exceed 7.50 F.T.E.)........................$2,512,347
1 Section 10.050. To the Department of Mental Health
2 For the Office of the Director
3 For receiving and expending grants, donations, contracts, and payments
4 from private, federal, and other governmental agencies which
5 may become available between sessions of the General Assembly
6 provided the General Assembly shall be notified of the source of
7 any new funds and the purpose for which they shall be expended,
8 in writing, prior to the use of said funds
9 Personal Service................................................................................................$156,157
10 Expense and Equipment........................................................................... 2,462,390
11 From Department of Mental Health Federal Fund (1148) (Not to exceed
12 2.00 F.T.E.) ....................................................................................................$2,618,547
1 Section 10.055. To the Department of Mental Health
2 For Medicaid payments related to intergovernmental payments
3 From Department of Mental Health Federal Fund (1148).......................................$11,900,000
4 From Mental Health Intergovernmental Transfer Fund (1147) ........................... 6,600,000
5 Total .........................................................................................................................$18,500,000
1 Section 10.060. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 Department of Social Services Intergovernmental Transfer Fund
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4 for providing the state match for the Department of Mental
5 Health payments
6 From General Revenue Fund (1101) .....................................................................$399,487,368
1 Section 10.065. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund to provide the state match for the
4 Department of Mental Health payments
5 From Department of Mental Health Federal Fund (1148).....................................$373,623,656
1 Section 10.070. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund for Disproportionate Share Hospital
4 funds leveraged by the Department of Mental Health – Institution
5 of Mental Disease facilities
6 From Department of Mental Health Federal Fund (1148).......................................$50,000,000
1 Section 10.090. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Title XXI - Children’s Health Insurance Program
5 Federal Fund (1159) (one-time)...................................................................$10,000,000
1 Section 10.094. To the Department of Mental Health
2 For the Office of the Director
3 For grant funding for the Crisis Counseling Program to provide services
4 related to presidential disaster declarations
5 Personal Service..................................................................................................$67,945
6 Expense and Equipment........................................................................... 2,090,000
7 From Department of Mental Health Federal Fund (1148)
8 (Not to exceed 1.00 F.T.E).............................................................................$2,157,945
1 Section 10.095. To the Department of Mental Health
2 For an Outpatient Comprehensive Substance Treatment and
3 Rehabilitation (CSTAR) Provider, located in any city not within
4 a county, with at least twenty years of experience and currently
5 in the process of renovating clinics, to meet increasing substance
6 use needs in the community through clinic and recovery housing
7 renovations and expanded telehealth access
8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$750,000
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1 Section 10.096. To the Department of Mental Health
2 For the planning, design, construction, expansion, and operation of a
3 children’s behavioral health hospital and outpatient treatment
4 center of a hospital founded in 1879, and located in any city with
5 more than twenty-three thousand but fewer than twenty-seven
6 thousand inhabitants and located in a county with more than one
7 million inhabitants
8 From General Revenue Fund (1101) (one-time) .....................................................$10,000,000
1 Section 10.100. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the administration of statewide comprehensive psychiatric services
4 and alcohol and drug abuse prevention and treatment programs,
5 provided three percent (3%) flexibility is allowed from this
6 section to Section 10.575
7 Personal Service.............................................................................................$2,928,666
8 Expense and Equipment........................................................................... 80,657
9 From General Revenue Fund (1101) ...........................................................................3,009,323
10 Personal Service...............................................................................................1,693,360
11 Expense and Equipment........................................................................... 1,885,784
12 From Department of Mental Health Federal Fund (1148)...........................................3,579,144
13 Personal Service
14 From Health Initiatives Fund (1275) ................................................................... 65,684
15 Total (Not to exceed 59.92 F.T.E.) ............................................................................$6,654,151
1 Section 10.105. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For prevention and education services, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 From Department of Mental Health Federal Fund (1148).......................................$17,854,737
6 From Compulsive Gaming Prevention Fund (1245) ...................................................1,500,000
7 From Health Initiatives Fund (1275) ................................................................................82,148
8 From Mental Health Earnings Fund (1288)....................................................................475,024
9 From Department of Mental Health Federal Stimulus - 2021 Fund
10 (2455) ..................................................................................................................799,634
11 Personal Service..................................................................................................122,690
12 Expense and Equipment........................................................................... 1,372,959
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13 From General Revenue Fund (1101) ...........................................................................1,495,649
14 Personal Service..................................................................................................166,586
15 Expense and Equipment........................................................................... 285,607
16 From Department of Mental Health Federal Fund (1148)..............................................452,193
17 For enabling enforcement of the provisions of the Family Smoking
18 Prevention and Tobacco Control Act of 2009 in collaboration
19 with the Department of Public Safety, Division of Alcohol and
20 Tobacco Control
21 Personal Service..................................................................................................342,077
22 Expense and Equipment........................................................................... 201,159
23 From Department of Mental Health Federal Fund (1148)..............................................543,236
24 For suicide prevention initiatives
25 Personal Service....................................................................................................24,048
26 Expense and Equipment........................................................................... 829,806
27 From Department of Mental Health Federal Fund (1148)..............................................853,854
28 For distribution to a non-profit located in a city with more than four
29 hundred thousand inhabitants and located in more than one
30 county, founded in 1982 to prevent and treat opioid substance use
31 by detoxification, temporary housing, treatment programs for
32 sobriety, and fentanyl epidemic recovery, provided that local
33 matching funds must be provided on a 50/50 state/local basis
34 From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) ................2,510,730
35 For distribution to a fire department located in a city with more than one
36 hundred five thousand but fewer than one hundred twenty-five
37 thousand inhabitants that engages in partnerships between social
38 work resources, mental health resources, and emergency
39 responders to connect community members to essential services
40 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,000,000
41 For community grants to local governments impacted by the opioid
42 epidemic
43 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 6,900,000
44 Total (Not to exceed 8.84 F.T.E.) ............................................................................$34,467,205
1 Section 10.106. To the Department of Mental Health
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2 For the Division of Behavioral Health
3 For grants no less than $250,000 distributed to Prevention Resource
4 Centers for primary care substance-use prevention
5 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000
1 Section 10.107. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Opioid Settlement Administration
4 For the reporting requirements pursuant to Section 196.1050, RSMo.
5 Personal Service..................................................................................................$79,737
6 Expense and Equipment........................................................................... 5,000
7 From Opioid Addiction Treatment and Recovery Fund (1705)
8 (Not to exceed 1.00 F.T.E.).................................................................................$84,737
1 Section 10.109. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Recovery Community Centers
4 From General Revenue Fund (1101) .........................................................................$4,402,527
5 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 1,200,000
6 Total ...........................................................................................................................$5,602,527
1 Section 10.110. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Recovery Support Services
4 Expense and Equipment
5 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,835,879
6 For peer-to-peer substance use disorder and mental health recovery
7 support services, located in any city with more than one hundred
8 sixty thousand but fewer than two hundred thousand inhabitants
9 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................100,000
10 For Recovery Support Services with the Access to Recovery Program
11 From Department of Mental Health Federal Fund (1148)................................... 2,598,084
12 Total ...........................................................................................................................$4,533,963
1 Section 10.111. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Addiction Medicine Fellowships
4 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,304,370
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1 Section 10.112. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For an organization located in a county with more than forty thousand
4 but fewer than fifty thousand inhabitants and with a county seat
5 with more than twenty-one thousand but fewer than thirty-one
6 thousand inhabitants, that empowers men with substance use
7 disorders through mentorship, education, counseling, and
8 vocational training, for the purpose of renovating facilities
9 From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) .................$200,000
1 Section 10.115. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For treatment of alcohol and drug abuse, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$766,593
7 Personal Service..................................................................................................275,338
8 Expense and Equipment........................................................................... 377,058
9 From Department of Mental Health Federal Fund (1148)..............................................652,396
10 Personal Service..................................................................................................279,257
11 Expense and Equipment........................................................................... 21,213
12 From Health Initiatives Fund (1275) ..............................................................................300,470
13 For treatment of alcohol and drug abuse, provided twenty percent (20%)
14 flexibility is allowed between subsections indicated in Sections
15 10.115 and 10.130 to allow flexibility in payment for the
16 Certified Community Behavioral Health Clinic Prospective
17 Payment System, and provided that Medicaid
18 CSTAR/CPR/CCBHO services shall not be capped and Medicaid
19 supplemental shall be requested when necessary, and further
20 provided three percent (3%) flexibility is allowed from this
21 section to Section 10.575
22 From General Revenue Fund (1101) .........................................................................13,091,648
23 From Department of Mental Health Federal Fund (1148).........................................87,366,819
24 From Title XXI - Children’s Health Insurance Program Federal Fund
25 (1159) ...............................................................................................................2,176,257
26 From Department of Mental Health Federal Stimulus - 2021 Fund (2455) ................2,970,141
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27 For treatment of alcohol and drug abuse
28 From Inmate Fund (1540) ............................................................................................3,513,779
29 From Health Initiatives Fund (1275) ...........................................................................6,074,976
30 From DMH Local Tax Matching Fund (1930) ...............................................................963,775
31 From Mental Health Interagency Payments Fund (1109).................................................10,000
32 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................6,040,316
33 For reducing recidivism among offenders with serious substance use
34 disorders who are returning to community areas from any of the
35 state correctional facilities. Additionally, remaining funds shall
36 be used to support offenders returning to other regions of the state
37 who are working with available treatment slots from the
38 Department of Mental Health. The department shall select a
39 qualified not-for-profit service provider in accordance with state
40 purchasing rules. The provider must have experience serving this
41 population in a correctional setting as well as in the community.
42 The provider shall design and implement an evidence-based
43 program that includes a continuum of services from prison to
44 community, including medication assisted treatment that is
45 initiated prior to release, when appropriate. The program must
46 include an evaluation component to determine its effectiveness
47 relative to other options, provided three percent (3%) flexibility
48 is allowed from this section to Section 10.575
49 From General Revenue Fund (1101) ...........................................................................2,564,144
50 For treatment of compulsive gambling
51 Expense and Equipment
52 From Compulsive Gamblers Fund (1249) ......................................................................153,606
53 To the Missouri Credentialing Board to credential licensed
54 professionals and certified counselors in gambling addiction
55 support and to develop and maintain an evidence-based training
56 program and to create a peer gambling credentialing program
57 From Compulsive Gamblers Fund (1249) ......................................................................200,000
58 For the Substance Abuse Traffic Offender Program
59 Expense and Equipment
60 From Mental Health Earnings Fund (1288).................................................................6,995,353
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61 For a non-profit organization focused on veteran’s healthcare
62 headquartered in any city not within a county, working in
63 collaboration with an Outpatient Comprehensive Substance
64 Treatment and Rehabilitation (CSTAR) Provider, for the
65 renovation of facilities to expand access to mental health and
66 employment training for veterans with opioid use disorder and
67 co-occurring substance use disorders
68 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................250,000
69 For statewide distribution of opioid antagonists approved by the Food
70 and Drug Administration, provided $100,000 be utilized for a
71 pilot project to distribute fentanyl test strips to community-based
72 organizations
73 Expense and Equipment
74 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................5,100,000
75 For statewide distribution of opioid antagonists approved by the Food
76 and Drug Administration to law enforcement agencies and first
77 responders
78 From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) ................8,000,000
79 For comprehensive psychiatric services, provided three percent (3%)
80 flexibility is allowed from this section to Section 10.575
81 Personal Service...............................................................................................1,574,946
82 Expense and Equipment (including $3,857,560 one-time)...................... 23,200,410
83 From General Revenue Fund (1101) .........................................................................24,775,356
84 Personal Service..................................................................................................494,474
85 Expense and Equipment .......................................................................... 4,548,307
86 From Department of Mental Health Federal Fund (1148)...........................................5,042,781
87 For adult psychiatric services, provided twenty percent (20%) flexibility
88 is allowed between subsections indicated in Sections 10.115 and
89 10.130 to allow flexibility in payment for the Certified
90 Community Behavioral Health Clinic Prospective Payment
91 System, and provided that Medicaid CSTAR/CPR/CCBHO
92 services shall not be capped and Medicaid supplemental shall be
93 requested when necessary, and further provided three percent
94 (3%) flexibility is allowed from this section to Section 10.575
95 Expense and Equipment
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96 From General Revenue Fund (1101) .........................................................................31,881,920
97 From Department of Mental Health Federal Fund (1148).........................................53,653,579
98 From Title XXI - Children’s Health Insurance Program Federal Fund
99 (1159) ..................................................................................................................850,196
100 From Mental Health Interagency Payments Fund (1109)............................................1,310,572
101 From Compulsive Gaming Prevention Fund (1245) ......................................................500,000
102 From DMH Local Tax Matching Fund (1930) ............................................................2,426,903
103 From Department of Mental Health Federal Stimulus - 2021 Fund
104 (2455) ...............................................................................................................3,969,012
105 For housing assistance for homeless veterans, provided three percent
106 (3%) flexibility is allowed from this section to Section 10.575
107 Expense and Equipment
108 From General Revenue Fund (1101) ..............................................................................255,000
109 From Department of Mental Health Federal Fund (1148)...........................................1,000,000
110 For Housing Liaisons to provide Missourians with disabilities assistance
111 in securing housing and receiving supportive services and to
112 serve as liaisons between tenants, housing providers, and the
113 department
114 From General Revenue Fund (1101) ...........................................................................2,500,000
115 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................2,500,000
116 For Shelter Plus Care grants
117 From Department of Mental Health Federal Fund (1148).........................................14,336,746
118 Funding for a non-profit health care organization that provides a
119 full continuum of behavioral health services as well as primary
120 and dental health services throughout Missouri
121 From General Revenue Fund (1101) ...........................................................................3,000,000
122 For youth psychiatric services, provided fifty percent (50%) flexibility is
123 allowed between subsections indicated in Sections 10.115 and
124 10.130 to allow flexibility in payment for the Certified
125 Community Behavioral Health Clinic Prospective Payment
126 System, and provided that Medicaid CSTAR/CPR/CCBHO
127 services shall not be capped and Medicaid supplemental shall be
128 requested when necessary, and further provided three percent
129 (3%) flexibility is allowed from this section to Section 10.575
130 Expense and Equipment
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131 From General Revenue Fund (1101) ...........................................................................3,895,742
132 From Department of Mental Health Federal Fund (1148)...........................................6,923,542
133 From Mental Health Interagency Payments Fund (1109)...............................................600,000
134 From DMH Local Tax Matching Fund (1930) ............................................................1,406,879
135 For Federally Qualified Health Centers, located in any city with more
136 than four hundred thousand inhabitants and located in more than
137 one county, and in any city with more than one hundred sixty
138 thousand but fewer than two hundred thousand inhabitants, to
139 provide mental health services
140 From General Revenue Fund (1101) ..............................................................................600,000
141 To provide funding for ambulance services and Emergency
142 Medical Response Agencies to provide transportation of
143 behavioral health patients directly to behavioral health services,
144 as well as providing treatment of behavioral health patients with
145 proper referral to behavioral health services
146 From General Revenue Fund (1101) ...........................................................................5,000,000
147 For the Division of Behavioral Health to implement the use of EEG-
148 Guided Transcranial Magnetic Stimulation (e-TMS) equipment
149 for priority populations to include veterans, law enforcement and
150 first responders
151 From General Revenue Fund (1101) ...........................................................................4,000,000
152 From Department of Mental Health Federal Fund (1148)...........................................2,117,298
153 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................2,000,000
154 For services at a youth resiliency campus located in any county with
155 more than two hundred sixty thousand but fewer than three
156 hundred thousand inhabitants
157 From General Revenue Fund (1101) ..............................................................................850,000
158 From Department of Mental Health Federal Fund (1148)...........................................1,000,000
159 For an organization serving a city not within a county and the
160 surrounding region to support prevention of opioid overdose
161 From Opioid Addiction Treatment and Recovery Fund (1705)
162 (including $556,500 one-time)................................................................ 1,113,000
163 Total (Not to exceed 50.52 F.T.E.) ........................................................................$324,698,799
1 Section 10.119. To the Department of Mental Health
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2 For the Division of Behavioral Health
3 For the MOConnect System
4 For the maintenance and operation of the crisis module
5 From General Revenue Fund (1101) ............................................................................$498,750
6 For the maintenance and operation of the referral module
7 From General Revenue Fund (1101) ................................................................. 498,750
8 Total ..............................................................................................................................$997,500
1 Section 10.120. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For reimbursing attorneys, physicians, and counties for fees in
4 involuntary civil commitment procedures, provided three percent
5 (3%) flexibility is allowed from this section to Section 10.575
6 Expense and Equipment
7 From General Revenue Fund (1101) .........................................................................$1,797,441
1 Section 10.121. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Forensic Mobile Teams to provide treatment to clients who are in
4 county jails awaiting court-ordered evaluations pursuant to
5 Chapter 552 RSMo and those who have been court-ordered for
6 competency restoration services in a Division of Behavioral
7 Health (DBH) inpatient facility pursuant to Chapter 552 RSMo
8 Personal Service.............................................................................................$1,669,255
9 Expense and Equipment (including $15,000 one-time).......................... 405,333
10 From General Revenue Fund (1101) (Not to exceed 18.50 F.T.E.) ..........................$2,074,588
1 Section 10.123. To the Department of Mental Health
2 For engaging patients in care coordination (EPICC) 24/7 referral and
3 linkage service for those residing in targeted regions, primarily
4 for individuals post overdose, but who also may present to
5 hospitals with issues relating to opioid, stimulant, and/or alcohol
6 use disorders to establish immediate connections to recovery
7 support services, and substance use treatment
8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$500,000
1 Section 10.125. To the Department of Mental Health
2 For the Division of Behavioral Health
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3 For prevention, treatment, and recovery programs at recovery high
4 schools
5 From Department of Mental Health Federal Fund (1148).........................................$6,834,783
6 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 3,600,000
7 Total .........................................................................................................................$10,434,783
1 Section 10.126. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For repair and renovation of an organization that provides transitional
4 living and supportive housing for individuals in recovery from
5 alcohol and drugs, located in any county with more than fifty
6 thousand but fewer than sixty thousand inhabitants and with a
7 county seat with more than seventeen thousand but fewer than
8 twenty-one thousand inhabitants, and located in any county with
9 more than forty thousand but fewer than fifty thousand
10 inhabitants and with a county seat with more than twenty-one
11 thousand but fewer than thirty-one thousand inhabitants
12 From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) .................$980,000
1 Section 10.128. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the reimbursement of hospitals related to individuals who qualify for
4 placement and support through the Division of Behavioral Health
5 who may otherwise be eligible for discharge but cannot be
6 discharged due to a lack of availability within an appropriate
7 community placement. Such hospitals shall provide a request for
8 funding documenting these individuals, length of stay beyond
9 discharge, and effort to find placement. The division shall on a
10 pro-rata basis provide a per diem reimbursement on an annual
11 basis
12 From General Revenue Fund (1101) (one-time) .......................................................$2,000,000
1 Section 10.129. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the renovation of two inpatient psychiatric units at an outpatient
4 children’s clinic, which helps children who are demonstrating
5 dysfunctional behavior or symptoms of mental illness, located in
6 any city with more than four hundred thousand inhabitants and
CCS SS SCS HCS HB 10 17
7 located in more than one county, provided that local matching
8 funds must be provided on a 50/50 state/local basis
9 From General Revenue Fund (1101) .........................................................................$1,647,000
1 Section 10.130. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For treatment of alcohol and drug abuse for payment of services to
4 Certified Community Behavioral Health Organizations, provided
5 twenty percent (20%) flexibility is allowed between subsections
6 indicated in Sections 10.115 and 10.130 to allow flexibility in
7 payment for the Certified Community Behavioral Health Clinic
8 Prospective Payment System, and provided that Medicaid
9 CSTAR/CPR/CCBHO services shall not be capped and Medicaid
10 supplemental shall be requested when necessary, and further
11 provided three percent (3%) flexibility is allowed from this
12 section to Section 10.575
13 Expense and Equipment
14 From General Revenue Fund (1101) .......................................................................$35,373,965
15 From Department of Mental Health Federal Fund (1148).........................................30,753,012
16 From Title XXI - Children’s Health Insurance Program Federal Fund
17 (1159) ..................................................................................................................316,457
18 From Compulsive Gaming Prevention Fund (1245) ...................................................2,000,000
19 For adult psychiatric services and community programs, provided twenty
20 percent (20%) flexibility is allowed between subsections
21 indicated in Sections 10.115 and 10.130 to allow flexibility in
22 payment for the Certified Community Behavioral Health Clinic
23 Prospective Payment System, and provided that Medicaid
24 CSTAR/CPR/CCBHO services shall not be capped and Medicaid
25 supplemental shall be requested when necessary, and further
26 provided three percent (3%) flexibility is allowed from this
27 section to Section 10.575
28 Expense and Equipment
29 From General Revenue Fund (1101) .......................................................................193,752,996
30 From Department of Mental Health Federal Fund (1148).......................................302,354,442
31 From Title XXI - Children’s Health Insurance Program Federal Fund
32 (1159) .............................................................................................................14,144,319
33 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................189,799
CCS SS SCS HCS HB 10 18
34 For matching funds to a Certified Community Behavioral Health
35 Organization, operating in any city with more than one hundred
36 five thousand but fewer than one hundred twenty-five thousand
37 inhabitants, to establish a substance use treatment facility in any
38 county with more than seven hundred thousand but fewer than
39 eight hundred thousand inhabitants
40 From General Revenue Fund (1101) (one-time) .........................................................3,500,000
41 For youth psychiatric services and community programs, provided
42 twenty percent (20%) flexibility is allowed between subsections
43 indicated in Sections 10.115 and 10.130 to allow flexibility in
44 payment for the Certified Community Behavioral Health Clinic
45 Prospective Payment System, and provided that Medicaid
46 CSTAR/CPR/CCBHO services for youth shall not be capped and
47 Medicaid supplemental shall be requested when necessary, and
48 further provided three percent (3%) flexibility is allowed from
49 this section to Section 10.575
50 Expense and Equipment
51 From General Revenue Fund (1101) .........................................................................82,416,256
52 From Department of Mental Health Federal Fund (1148).......................................139,787,074
53 From Title XXI - Children’s Health Insurance Program Federal Fund
54 (1159) ....................................................................................................... 36,827,613
55 Total .......................................................................................................................$841,415,933
1 Section 10.135. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For a universal screening program used to identify maternal depression
4 and related behavioral health disorders including anxiety,
5 substance use disorder and depression
6 From Department of Mental Health Federal Fund (1148)............................................$750,000
1 Section 10.139. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the 988 Crisis Response
4 From Department of Mental Health Federal Fund (1148).........................................$3,140,197
1 Section 10.140. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For administrative expenses related to the 988 Crisis Response
CCS SS SCS HCS HB 10 19
4 Personal Service..................................................................................................$36,395
5 Expense and Equipment........................................................................... 5,000
6 From Department of Mental Health Federal Fund (1148)..............................................$41,395
1 Section 10.145. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For a substance abuse initiative that focuses on providing medication
4 assisted treatment to treat substance use disorders. Eligible
5 Federally Qualified Health Centers shall have provided walk-in
6 medication assisted treatment services in the previous year
7 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000
1 Section 10.150. To the Department of Mental Health
2 For the Division of Behavioral Health
3 To pay the state operated hospital provider tax
4 Expense and Equipment
5 From General Revenue Fund (1101) .......................................................................$13,510,000
6 For funding expenses related to fluctuating census demands, Medicare
7 bundling compliance, Medicare Part D implementation, and to
8 restore facilities personal service and/or expense and equipment
9 incurred for direct care worker training and other operational
10 maintenance expenses
11 Expense and Equipment
12 From Department of Mental Health Federal Fund (1148)...........................................4,438,909
13 From Title XXI - Children’s Health Insurance Program Federal
14 Fund (1159).............................................................................................. 400,184
15 Total .........................................................................................................................$18,349,093
1 Section 10.300. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Fulton State Hospital, provided fifteen percent (15%) may be
4 spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 facilities, and further provided ten percent (10%) flexibility is
7 allowed between Fulton State Hospital and Fulton State Hospital
8 Sexual Offender Rehabilitation and Treatment Services Program,
9 and further provided ten percent (10%) flexibility is allowed
10 between personal service and expense and equipment, and further
CCS SS SCS HCS HB 10 20
11 provided fifteen percent (15%) flexibility is allowed from this
12 section to Sections 10.305, 10.310, 10.315, 10.320, and 10.325,
13 and further provided three percent (3%) flexibility is allowed
14 from this section to Section 10.575
15 Personal Service...........................................................................................$56,722,455
16 Expense and Equipment........................................................................... 12,152,658
17 From General Revenue Fund (1101) .........................................................................68,875,113
18 Personal Service..................................................................................................998,482
19 Expense and Equipment........................................................................... 618,895
20 From Department of Mental Health Federal Fund (1148)...........................................1,617,377
21 For paying overtime to state employees. Nonexempt state employees
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
25 Personal Service
26 From General Revenue Fund (1101) ..............................................................................848,945
27 For the Fulton State Hospital Sexual Offender Rehabilitation and
28 Treatment Services Program, provided fifteen percent (15%) may
29 be spent on the Purchase of Community Services, including
30 transitioning clients to the community or other state-operated
31 facilities, and further provided ten percent (10%) flexibility is
32 allowed between Fulton State Hospital Sexual Offender
33 Rehabilitation and Treatment Services Program and Fulton State
34 Hospital, and further provided ten percent (10%) flexibility is
35 allowed between personal service and expense and equipment,
36 and further provided fifteen percent (15%) flexibility is allowed
37 from this section to Sections 10.305, 10.310, 10.315, 10.320, and
38 10.325, and further provided three percent (3%) flexibility is
39 allowed from this section to Section 10.575
40 Personal Service.............................................................................................13,457,724
41 Expense and Equipment........................................................................... 2,737,527
42 From General Revenue Fund (1101) .........................................................................16,195,251
43 For paying overtime to state employees. Nonexempt state employees
44 identified by Section 105.935, RSMo, will be paid first with any
CCS SS SCS HCS HB 10 21
45 remaining funds being used to pay overtime to any other state
46 employees
47 Personal Service
48 From General Revenue Fund (1101) ................................................................... 79,699
49 Total (Not to exceed 1,293.07 F.T.E.) .....................................................................$87,616,385
1 Section 10.305. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Northwest Missouri Psychiatric Rehabilitation Center, provided
4 fifteen percent (15%) may be spent on the Purchase of
5 Community Services, including transitioning clients to the
6 community or other state-operated facilities, and further provided
7 ten percent (10%) flexibility is allowed between personal service
8 and expense and equipment, and further provided five percent
9 (5%) flexibility is allowed from this section to Sections 10.300,
10 10.310, 10.315, 10.320, and 10.325, and further provided three
11 percent (3%) flexibility is allowed from this section to Section
12 10.575
13 Personal Service...........................................................................................$14,968,415
14 Expense and Equipment........................................................................... 4,109,261
15 From General Revenue Fund (1101) .........................................................................19,077,676
16 Personal Service..................................................................................................828,990
17 Expense and Equipment........................................................................... 105,903
18 From Department of Mental Health Federal Fund (1148)..............................................934,893
19 For paying overtime to state employees. Nonexempt state employees
20 identified by Section 105.935, RSMo, will be paid first with any
21 remaining funds being used to pay overtime to any other state
22 employees
23 Personal Service
24 From General Revenue Fund (1101) ..............................................................................221,116
25 From Department of Mental Health Federal Fund (1148)................................... 11,880
26 Total (Not to exceed 288.73 F.T.E.) ........................................................................$20,245,565
1 Section 10.310. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Forensic Treatment Center, provided fifteen percent (15%) may
4 be spent on the Purchase of Community Services, including
CCS SS SCS HCS HB 10 22
5 transitioning clients to the community or other state-operated
6 facilities, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided five percent (5%) flexibility is allowed from
9 this section to Sections 10.300, 10.305, 10.315, 10.320, and
10 10.325, and provided three percent (3%) flexibility is allowed
11 from this section to Section 10.575
12 Personal Service...........................................................................................$37,156,783
13 Expense and Equipment........................................................................... 8,709,557
14 From General Revenue Fund (1101) .........................................................................45,866,340
15 Personal Service..................................................................................................903,776
16 Expense and Equipment........................................................................... 93,210
17 From Department of Mental Health Federal Fund (1148)..............................................996,986
18 Personal Service..................................................................................................121,153
19 Expense and Equipment........................................................................... 855,546
20 From Mental Health Earnings Fund (1288)....................................................................976,699
21 For paying overtime to state employees. Nonexempt state employees
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
25 Personal Service
26 From General Revenue Fund (1101) ..............................................................................396,532
27 From Department of Mental Health Federal Fund (1148)................................... 2,191
28 Total (Not to exceed 707.41 F.T.E.) ........................................................................$48,238,748
1 Section 10.315. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Southeast Missouri Mental Health Center, provided fifteen
4 percent (15%) may be spent on the Purchase of Community
5 Services, including transitioning clients to the community or
6 other state-operated facilities, and provided ten percent (10%)
7 flexibility is allowed between Southeast Missouri Mental Health
8 Center and Southeast Missouri Mental Health Center-Sexual
9 Offender Rehabilitation and Treatment Services Program, and
10 further provided ten percent (10%) flexibility is allowed between
11 personal service and expense and equipment, and further
CCS SS SCS HCS HB 10 23
12 provided fifteen percent (15%) flexibility is allowed from this
13 section to Sections 10.300, 10.305, 10.310, 10.320, and 10.325,
14 and provided three percent (3%) flexibility is allowed from this
15 section to Section 10.575
16 Personal Service...........................................................................................$26,748,143
17 Expense and Equipment........................................................................... 6,080,007
18 From General Revenue Fund (1101) .........................................................................32,828,150
19 Personal Service..................................................................................................307,474
20 Expense and Equipment........................................................................... 219,538
21 From Department of Mental Health Federal Fund (1148)..............................................527,012
22 Personal Service
23 From Mental Health Trust Fund (1926)............................................................................97,876
24 For paying overtime to state employees. Nonexempt state employees
25 identified by Section 105.935, RSMo, will be paid first with any
26 remaining funds being used to pay overtime to any other state
27 employees
28 Personal Service
29 From General Revenue Fund (1101) ..............................................................................211,667
30 For the Southeast Missouri Mental Health Center-Sexual Offender
31 Rehabilitation and Treatment Services Program, provided fifteen
32 percent (15%) may be spent on the Purchase of Community
33 Services, including transitioning clients to the community or
34 other state-operated facilities, and further provided ten percent
35 (10%) flexibility is allowed between Southeast Missouri Mental
36 Health Center-Sexual Offender Rehabilitation and Treatment
37 Services Program and Southeast Missouri Mental Health Center,
38 and further provided ten percent (10%) flexibility is allowed
39 between personal service and expense and equipment, and further
40 provided fifteen percent (15%) flexibility is allowed from this
41 section to Sections 10.300, 10.305, 10.310, 10.320, and 10.325,
42 and further provided three percent (3%) flexibility is allowed
43 from this section to Section 10.575
44 Personal Service.............................................................................................25,580,938
45 Expense and Equipment........................................................................... 5,405,648
46 From General Revenue Fund (1101) .........................................................................30,986,586
CCS SS SCS HCS HB 10 24
47 Personal Service
48 From Department of Mental Health Federal Fund (1148)................................................32,839
49 For paying overtime to state employees. Nonexempt state employees
50 identified by Section 105.935, RSMo, will be paid first with any
51 remaining funds being used to pay overtime to any other state
52 employees
53 Personal Service
54 From General Revenue Fund (1101) ................................................................... 110,104
55 Total (Not to exceed 980.62 F.T.E.) ........................................................................$64,794,234
1 Section 10.320. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Center for Behavioral Medicine, provided fifteen percent (15%)
4 may be spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 facilities, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided five percent (5%) flexibility is allowed from
9 this section to Sections 10.300, 10.305, 10.310, 10.315, and
10 10.325, and provided three percent (3%) flexibility is allowed
11 from this section to Section 10.575
12 Personal Service...........................................................................................$18,281,996
13 Expense and Equipment........................................................................... 3,073,767
14 From General Revenue Fund (1101) .........................................................................21,355,763
15 Personal Service..................................................................................................254,490
16 Expense and Equipment........................................................................... 633,697
17 From Department of Mental Health Federal Fund (1148)..............................................888,187
18 Expense and Equipment
19 From Mental Health Earnings Fund (1288)....................................................................416,100
20 For paying overtime to state employees. Nonexempt state employees
21 identified by Section 105.935, RSMo, will be paid first with any
22 remaining funds being used to pay overtime to any other state
23 employees
24 Personal Service
25 From General Revenue Fund (1101) ................................................................... 319,756
CCS SS SCS HCS HB 10 25
26 Total (Not to exceed 307.99 F.T.E.) ........................................................................$22,979,806
1 Section 10.325. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Hawthorn Children's Psychiatric Hospital, provided ten percent
4 (10%) flexibility is allowed between personal service and
5 expense and equipment, and further provided five percent (5%)
6 flexibility is allowed from this section to Sections 10.300, 10.305,
7 10.310, 10.315, and 10.320, and provided three percent (3%)
8 flexibility is allowed from this section to Section 10.575
9 Personal Service...........................................................................................$10,405,934
10 Expense and Equipment........................................................................... 1,203,685
11 From General Revenue Fund (1101) .........................................................................11,609,619
12 Personal Service...............................................................................................1,958,287
13 Expense and Equipment........................................................................... 197,901
14 From Department of Mental Health Federal Fund (1148)...........................................2,156,188
15 For paying overtime to state employees. Nonexempt state employees
16 identified by Section 105.935, RSMo, will be paid first with any
17 remaining funds being used to pay overtime to any other state
18 employees
19 Personal Service
20 From General Revenue Fund (1101) ................................................................................85,861
21 From Department of Mental Health Federal Fund (1148)................................... 7,629
22 Total (Not to exceed 224.64 F.T.E.) ........................................................................$13,859,297
1 Section 10.400. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the division administration, provided three percent (3%) flexibility
4 is allowed from this section to Section 10.575
5 Personal Service.............................................................................................$1,883,186
6 Expense and Equipment........................................................................... 59,890
7 From General Revenue Fund (1101) ...........................................................................1,943,076
8 Personal Service..................................................................................................495,798
9 Expense and Equipment........................................................................... 868,980
10 From Department of Mental Health Federal Fund (1148)................................... 1,364,778
11 Total (Not to exceed 30.12 F.T.E.) ............................................................................$3,307,854
CCS SS SCS HCS HB 10 26
1 Section 10.405. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 To pay the state operated Intermediate Care Facilities for
4 Individuals with Intellectual Disabilities (ICF/ID) provider tax
5 Expense and Equipment
6 From General Revenue Fund (1101) .........................................................................$6,200,000
7 For habilitation centers
8 Expense and Equipment
9 From Habilitation Center Room and Board Fund (1435) .................................... 3,417,038
10 Total ...........................................................................................................................$9,617,038
1 Section 10.410. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 Provided residential services for non-Medicaid eligibles shall not
4 be reduced below the prior year expenditures as long as the
5 person is evaluated to need the services
6 For community programs, including long-term care transformation
7 initiatives and efforts for reimbursement of providers based on
8 integration of key identified outcomes that produce value-based
9 care delivery models to improve quality and efficiency of the
10 total care delivered to individuals
11 From General Revenue Fund (1101) .....................................................................$947,146,107
12 From Department of Mental Health Federal Fund (1148)....................................1,678,419,381
13 From Title XXI - Children’s Health Insurance Program Federal Fund
14 (1159) ...............................................................................................................5,805,552
15 From DMH Local Tax Matching Fund (1930) ............................................................1,015,000
16 For community programs, provided three percent (3%) flexibility is
17 allowed from this section to Section 10.575
18 Personal Service...............................................................................................1,048,001
19 Expense and Equipment........................................................................... 36,800
20 From General Revenue Fund (1101) ...........................................................................1,084,801
21 Personal Service...............................................................................................1,137,569
22 Expense and Equipment........................................................................... 179,284
23 From Department of Mental Health Federal Fund (1148)...........................................1,316,853
24 For statewide autism outreach, education, and awareness programs for
25 persons with autism and their families
CCS SS SCS HCS HB 10 27
26 From General Revenue Fund (1101) .........................................................................13,131,599
27 For an Autism Center located in a city with more than fifty-one thousand
28 but fewer than fifty-eight thousand inhabitants and located in
29 more than one county
30 From General Revenue Fund (1101) ................................................................................51,511
31 For Autism Outreach Initiatives for Children in Northeast Missouri
32 From General Revenue Fund (1101) ................................................................................51,511
33 For Regional Autism projects
34 From General Revenue Fund (1101) (including $1,000,000 one-time) ....................10,017,135
35 For an Autism Center headquartered in a city with more than one hundred
36 sixty thousand but fewer than two hundred thousand inhabitants,
37 provided that local matching funds must be provided on a 50/50
38 state/local basis
39 From General Revenue Fund (1101) ...........................................................................1,000,000
40 For the Developmental Disability Training Program in a county with
41 more than four hundred thousand but fewer than five hundred
42 thousand inhabitants and a county with more than one million
43 inhabitants
44 From General Revenue Fund (1101) ..............................................................................250,000
45 For services for children who are clients of the Department of Social
46 Services
47 From Mental Health Interagency Payments Fund (1109)..........................................11,591,223
48 For youth services
49 From Mental Health Interagency Payments Fund (1109)...............................................213,832
50 For Senate Bill 40 Board Tax Funds to be used as match for Medicaid
51 initiatives for clients of the division
52 From DMH Local Tax Matching Fund (1930) .................................................... 5,889,538
53 Total (Not to exceed 26.59 F.T.E.) .....................................................................$2,676,984,043
1 Section 10.415. To the Department of Mental Health
2 For the Division of Developmental Disabilities
CCS SS SCS HCS HB 10 28
3 For a designated provider (including a provider that operates in
4 coordination with a team of health care professionals) or a health
5 team selected by an eligible individual with chronic conditions to
6 provide health home services, designed to coordinate care for
7 individuals with identified health risks and chronic health
8 conditions receiving DD HCBS services, provided three percent
9 (3%) flexibility is allowed from this section to Section 10.575
10 From General Revenue Fund (1101) .........................................................................$1,100,667
11 From Department of Mental Health Federal Fund (1148)................................... 9,906,000
12 Total .........................................................................................................................$11,006,667
1 Section 10.420. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the reimbursement of hospitals related to individuals who qualify for
4 placement and support through the Division of Developmental
5 Disabilities who may otherwise be eligible for discharge but
6 cannot be discharged due to a lack of availability within an
7 appropriate community placement. Such hospitals shall provide
8 a request for funding documenting these individuals, length of
9 stay beyond discharge, and effort to find placement. The division
10 shall on a pro-rata basis provide a per diem reimbursement on an
11 annual basis
12 From General Revenue Fund (1101) (including $4,700,000 one-time) ....................$8,700,000
1 Section 10.425. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For community support staff, provided three percent (3%) flexibility is
4 allowed from this section to Section 10.575
5 Personal Service
6 From General Revenue Fund (1101) .........................................................................$4,490,956
7 From Department of Mental Health Federal Fund (1148)................................... 8,955,829
8 Total (Not to exceed 234.38 F.T.E.) ........................................................................$13,446,785
1 Section 10.430. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For developmental disabilities services, provided ten percent (10%)
4 flexibility is allowed between personal service and expense and
5 equipment
6 Personal Service................................................................................................$560,699
CCS SS SCS HCS HB 10 29
7 Expense and Equipment........................................................................... 1,826,069
8 From Department of Mental Health Federal Fund (1148) (Not to exceed
9 7.98 F.T.E.) ....................................................................................................$2,386,768
1 Section 10.435. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury, to the
3 General Revenue Fund as a result of recovering the Intermediate
4 Care Facility Intellectually Disabled (ICF/ID) Reimbursement
5 Allowance Fund
6 From Intermediate Care Facility Intellectually Disabled Reimbursement
7 Allowance Fund (1901) .................................................................................$2,300,000
8 Funds are to be transferred out of the State Treasury, to Federal
9 Funds
10 From Intermediate Care Facility Intellectually Disabled Reimbursement
11 Allowance Fund (1901) ........................................................................... 4,066,456
12 Total ...........................................................................................................................$6,366,456
1 Section 10.500. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Central Missouri Regional Center, provided twenty-five percent
4 (25%) flexibility is allowed between personal service and
5 expense and equipment, and further provided three percent (3%)
6 flexibility is allowed from this section to Section 10.575
7 Personal Service.............................................................................................$4,641,321
8 Expense and Equipment........................................................................... 179,911
9 From General Revenue Fund (1101) ...........................................................................4,821,232
10 Personal Service..................................................................................................723,014
11 Expense and Equipment........................................................................... 111,063
12 From Department of Mental Health Federal Fund (1148)................................... 834,077
13 Total (Not to exceed 98.70 F.T.E.) ............................................................................$5,655,309
1 Section 10.505. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Kansas City Regional Center, provided twenty-five percent
4 (25%) flexibility is allowed between personal service and
5 expense and equipment, and further provided three percent (3%)
6 flexibility is allowed from this section to Section 10.575
CCS SS SCS HCS HB 10 30
7 Personal Service.............................................................................................$4,409,346
8 Expense and Equipment........................................................................... 254,178
9 From General Revenue Fund (1101) ...........................................................................4,663,524
10 Personal Service...............................................................................................1,369,119
11 Expense and Equipment........................................................................... 111,945
12 From Federal Funds Department of Mental Health Federal Fund (1148) ........... 1,481,064
13 Total (Not to exceed 97.74 F.T.E.) ............................................................................$6,144,588
1 Section 10.510. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Sikeston Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further three percent (3%) flexibility is allowed
6 from this section to Section 10.575
7 Personal Service.............................................................................................$2,423,346
8 Expense and Equipment........................................................................... 128,541
9 From General Revenue Fund (1101) ...........................................................................2,551,887
10 Personal Service..................................................................................................267,298
11 Expense and Equipment........................................................................... 27,735
12 From Department of Mental Health Federal Fund (1148)................................... 295,033
13 Total (Not to exceed 48.57 F.T.E.) ............................................................................$2,846,920
1 Section 10.515. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Springfield Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further three percent (3%) flexibility is allowed
6 from this section to Section 10.575
7 Personal Service.............................................................................................$2,918,871
8 Expense and Equipment........................................................................... 167,999
9 From General Revenue Fund (1101) ...........................................................................3,086,870
10 Personal Service..................................................................................................423,301
11 Expense and Equipment........................................................................... 41,508
12 From Department of Mental Health Federal Fund (1148)................................... 464,809
13 Total (Not to exceed 60.13 F.T.E.) ............................................................................$3,551,679
1 Section 10.520. To the Department of Mental Health
2 For the Division of Developmental Disabilities
CCS SS SCS HCS HB 10 31
3 For the St. Louis Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further provided three percent (3%) flexibility is
6 allowed from this section to Section 10.575
7 Personal Service.............................................................................................$6,710,914
8 Expense and Equipment........................................................................... 392,295
9 From General Revenue Fund (1101) ...........................................................................7,103,209
10 Personal Service...............................................................................................1,190,148
11 Expense and Equipment........................................................................... 246,273
12 From Department of Mental Health Federal Fund (1148)................................... 1,436,421
13 Total (Not to exceed 141.00 F.T.E.) ..........................................................................$8,539,630
1 Section 10.525. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Bellefontaine Habilitation Center, provided fifteen percent (15%)
4 may be spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 services, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.575
10 Personal Service...........................................................................................$10,534,797
11 Expense and Equipment........................................................................... 389,397
12 From General Revenue Fund (1101) .........................................................................10,924,194
13 Personal Service.............................................................................................12,126,353
14 Expense and Equipment........................................................................... 645,673
15 From Department of Mental Health Federal Fund (1148).........................................12,772,026
16 For paying overtime to state employees. Nonexempt state employees
17 identified by Section 105.935, RSMo, will be paid first with any
18 remaining funds being used to pay overtime to any other state
19 employees
20 Personal Service
21 From General Revenue Fund (1101) ...........................................................................1,238,175
22 From Department of Mental Health Federal Fund (1148)................................... 13,099
23 Total (Not to exceed 459.35 F.T.E.) ........................................................................$24,947,494
1 Section 10.530. To the Department of Mental Health
CCS SS SCS HCS HB 10 32
2 For the Division of Developmental Disabilities
3 For the Higginsville Habilitation Center, provided thirty percent (30%)
4 may be spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 services, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.575
10 Personal Service.............................................................................................$6,301,906
11 Expense and Equipment........................................................................... 151,147
12 From General Revenue Fund (1101) ...........................................................................6,453,053
13 Personal Service...............................................................................................7,571,459
14 Expense and Equipment........................................................................... 366,749
15 From Department of Mental Health Federal Fund (1148)...........................................7,938,208
16 For paying overtime to state employees. Nonexempt state employees
17 identified by Section 105.935, RSMo, will be paid first with any
18 remaining funds being used to pay overtime to any other state
19 employees
20 Personal Service
21 From General Revenue Fund (1101) ..............................................................................551,428
22 From Department of Mental Health Federal Fund (1148)................................... 87,789
23 Total (Not to exceed 333.43 F.T.E.) ........................................................................$15,030,478
1 Section 10.535. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For Northwest Community Services, provided thirty percent (30%) may
4 be spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 services, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.575
10 Personal Service...........................................................................................$12,064,808
11 Expense and Equipment........................................................................... 523,277
12 From General Revenue Fund (1101) .........................................................................12,588,085
13 Personal Service.............................................................................................14,679,254
CCS SS SCS HCS HB 10 33
14 Expense and Equipment........................................................................... 618,733
15 From Department of Mental Health Federal Fund (1148).........................................15,297,987
16 For paying overtime to state employees. Nonexempt state employees
17 identified by Section 105.935, RSMo, will be paid first with any
18 remaining funds being used to pay overtime to any other state
19 employees
20 Personal Service
21 From General Revenue Fund (1101) ................................................................... 965,004
22 Total (Not to exceed 609.46 F.T.E.) ........................................................................$28,851,076
1 Section 10.540. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For Southwest Community Services, provided fifteen percent (15%) may
4 be spent on the Purchase of Community Services, including
5 transitioning clients to the community or other state-operated
6 services, and further provided ten percent (10%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.575
10 Personal Service.............................................................................................$4,846,412
11 Expense and Equipment........................................................................... 91,733
12 From General Revenue Fund (1101) ...........................................................................4,938,145
13 Personal Service...............................................................................................5,866,062
14 Expense and Equipment........................................................................... 360,055
15 From Department of Mental Health Federal Fund (1148)...........................................6,226,117
16 For paying overtime to state employees. Nonexempt state employees
17 identified by Section 105.935, RSMo, will be paid first with any
18 remaining funds being used to pay overtime to any other state
19 employees
20 Personal Service
21 From General Revenue Fund (1101) ................................................................................64,551
22 From Department of Mental Health Federal Fund (1148)................................... 247,088
23 Total (Not to exceed 238.96 F.T.E.) ........................................................................$11,475,901
1 Section 10.545. To the Department of Mental Health
2 For the Division of Developmental Disabilities
CCS SS SCS HCS HB 10 34
3 For the St. Louis Developmental Disabilities Treatment Center, provided
4 thirty percent (30%) may be spent on the Purchase of Community
5 Services, including transitioning clients to the community or
6 other state-operated services, and further provided ten percent
7 (10%) flexibility is allowed between personal service and
8 expense and equipment, and further provided three percent (3%)
9 flexibility is allowed from this section to Section 10.575
10 Personal Service...........................................................................................$10,584,759
11 Expense and Equipment........................................................................... 1,973,611
12 From General Revenue Fund (1101) .........................................................................12,558,370
13 Personal Service.............................................................................................13,548,834
14 Expense and Equipment........................................................................... 718,822
15 From Department of Mental Health Federal Fund (1148)................................... 14,267,656
16 Total (Not to exceed 504.74 F.T.E.) ........................................................................$26,826,026
1 Section 10.550. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For Southeast Missouri Residential Services, provided thirty percent
4 (30%) may be spent on the Purchase of Community Services,
5 including transitioning clients to the community or other state-
6 operated services, and further provided ten percent (10%)
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 10.575
10 Personal Service.............................................................................................$5,132,404
11 Expense and Equipment........................................................................... 149,259
12 From General Revenue Fund (1101) ...........................................................................5,281,663
13 Personal Service...............................................................................................5,604,872
14 Expense and Equipment........................................................................... 633,384
15 From Department of Mental Health Federal Fund (1148)...........................................6,238,256
16 For paying overtime to state employees. Nonexempt state employees
17 identified by Section 105.935, RSMo, will be paid first with any
18 remaining funds being used to pay overtime to any other state
19 employees
20 Personal Service
21 From General Revenue Fund (1101) ..............................................................................261,615
CCS SS SCS HCS HB 10 35
22 From Department of Mental Health Federal Fund (1148)................................... 91,023
23 Total (Not to exceed 249.19 F.T.E.) ........................................................................$11,872,557
1 Section 10.555. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 To be distributed to programs promoting basic scientific research,
4 clinic patient research, and patient care for tuberous sclerosis
5 complex
6 From General Revenue Fund (1101) ............................................................................$500,000
1 Section 10.575. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury, for the
3 payment of claims, premiums, and expenses as provided by
4 Section 105.711 through 105.726, RSMo, to the State Legal
5 Expense Fund
6 From General Revenue Fund (1101) .......................................................................................$1
1 Section 10.600. To the Department of Health and Senior Services
2 For the Office of the Director
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.1050
5 Personal Service................................................................................................$348,867
6 Annual salary adjustment in accordance with Section 105.005,
7 RSMo ......................................................................................................................2,598
8 Expense and Equipment........................................................................... 17,133
9 From General Revenue Fund (1101) ..............................................................................368,598
10 Personal Service..................................................................................................608,137
11 Annual salary adjustment in accordance with Section 105.005,
12 RSMo ....................................................................................................................17,385
13 Expense and Equipment........................................................................... 67,048
14 From Department of Health and Senior Services Federal Fund (1143) .............. 692,570
15 Total (Not to exceed 11.00 F.T.E.) ............................................................................$1,061,168
1 Section 10.605. To the Department of Health and Senior Services
2 For the Division of Administration
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.1050
5 Personal Service.............................................................................................$1,112,452
6 Expense and Equipment........................................................................... 537,443
CCS SS SCS HCS HB 10 36
7 From General Revenue Fund (1101) ...........................................................................1,649,895
8 For program operations and support
9 Personal Service...............................................................................................3,629,358
10 Expense and Equipment........................................................................... 1,982,510
11 From Department of Health and Senior Services Federal Fund (1143) ......................5,611,868
12 Expense and Equipment
13 From Nursing Facility Quality of Care Fund (1271) ......................................................330,000
14 Expense and Equipment
15 From Health Access Incentive Fund (1276) .....................................................................50,000
16 Expense and Equipment
17 From Mammography Fund (1293) ...................................................................................25,000
18 Personal Service..................................................................................................353,200
19 Expense and Equipment........................................................................... 199,900
20 From Missouri Public Health Services Fund (1298) ......................................................553,100
21 Expense and Equipment
22 From Department of Health and Senior Services Document Services
23 Fund (1646)...........................................................................................................44,571
24 Expense and Equipment
25 From Department of Health - Donated Fund (1658) ........................................................30,000
26 Expense and Equipment
27 From Putative Father Registry Fund (1780) .....................................................................25,000
28 Expense and Equipment
29 From Organ Donor Program Fund (1824) ........................................................................30,000
30 Personal Service...............................................................................................1,226,238
31 Expense and Equipment........................................................................... 2,027,134
32 From Veterans, Health, and Community Reinvestment Fund (1608) .........................3,253,372
33 Personal Service....................................................................................................32,301
34 Expense and Equipment........................................................................... 79,479
35 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................111,780
CCS SS SCS HCS HB 10 37
36 Expense and Equipment
37 From Missouri Veterans’ Health and Care Fund (1606) ..................................... 1,020,524
38 Total (Not to exceed 101.35 F.T.E.) ........................................................................$12,735,110
1 Section 10.610. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury, to the Health
3 Access Incentive Fund
4 From Health Initiatives Fund (1275) ............................................................................$759,624
1 Section 10.615. To the Department of Health and Senior Services
2 For the Division of Administration
3 For the payment of refunds set off against debts in accordance with
4 Section 143.786, RSMo
5 From Debt Offset Escrow Fund (1753) ..........................................................................$50,000
1 Section 10.620. To the Department of Health and Senior Services
2 For the Division of Administration
3 For refunds
4 From General Revenue Fund (1101) ..............................................................................$50,000
5 For refunds, provided fifty percent (50%) flexibility is allowed between
6 federal and other funds
7 From Department of Health and Senior Services Federal Fund (1143) .........................100,000
8 From Nursing Facility Quality of Care Fund (1271) ..........................................................9,240
9 From Health Access Incentive Fund (1276) .......................................................................5,000
10 From Mammography Fund (1293) .....................................................................................1,000
11 From Missouri Public Health Services Fund (1298) ........................................................39,000
12 From Endowed Care Cemetery Audit Fund (1562)............................................................2,899
13 From Professional and Practical Nursing Student Loan and Nurse Loan
14 Repayment Fund (1565) .........................................................................................2,500
15 From Missouri Veterans’ Health and Care Fund (1606) ..................................................51,000
16 From Veterans, Health, and Community Reinvestment Fund (1608) ............................100,000
17 From Department of Health and Senior Services Document Services
18 Fund (1646)...........................................................................................................10,000
19 From Department of Health - Donated Fund (1658) ........................................................15,133
20 From Criminal Record System Fund (1671) .........................................................................333
21 From Children’s Trust Fund (1694)..................................................................................13,495
22 From Brain Injury Fund (1742) .............................................................................................100
23 From Missouri State Coroners’ Training Fund (1846) .......................................................1,200
CCS SS SCS HCS HB 10 38
24 From Organ Donor Program Fund (1824) ...............................................................................25
25 From Childhood Lead Testing Fund (1899) ........................................................ 275
26 Total ..............................................................................................................................$401,200
1 Section 10.625. To the Department of Health and Senior Services
2 For the Division of Administration
3 For receiving and expending grants, donations, contracts, and payments
4 from private, federal, and other governmental agencies which
5 may become available between sessions of the General
6 Assembly, provided the General Assembly shall be notified of
7 the source of any new funds and the purpose for which they shall
8 be expended, in writing, prior to the use of said funds
9 Personal Service................................................................................................$130,765
10 Expense and Equipment........................................................................... 3,000,001
11 From Department of Health and Senior Services Federal Fund (1143) ......................3,130,766
12 Personal Service..................................................................................................120,264
13 Expense and Equipment........................................................................... 347,596
14 From Department of Health - Donated Fund (1658) ........................................... 467,860
15 Total ...........................................................................................................................$3,598,626
1 Section 10.630. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury, in
3 accordance with Section 135.690, RSMo, to the General Revenue
4 Fund
5 From Medical Preceptor Fund (1260)...........................................................................$200,000
1 Section 10.700. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For cancer and chronic disease control, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
CCS SS SCS HCS HB 10 39
13 Personal Service................................................................................................$446,923
14 Expense and Equipment........................................................................... 196,605
15 From General Revenue Fund (1101) ..............................................................................643,528
16 Personal Service..................................................................................................654,909
17 Expense and Equipment........................................................................... 4,860,936
18 From Department of Health and Senior Services Federal Fund (1143) ......................5,515,845
19 Personal Service..................................................................................................153,179
20 Expense and Equipment........................................................................... 131,887
21 From Organ Donor Program Fund (1824) ......................................................................285,066
22 Expense and Equipment
23 From Health Initiatives Fund (1275) ................................................................................26,241
24 For a grant program benefitting people living with amyotrophic lateral
25 sclerosis (ALS) and providing case services, including respite
26 care, care coordination, and clinical support
27 From General Revenue Fund (1101) ..............................................................................250,000
28 For Community Based Navigation Services for breast cancer screening
29 and treatment provided by a statewide community based not-for-
30 profit with experience supporting low to moderate income
31 individuals who are either in need of preventative screening
32 services for breast cancer detection and/or treatment for breast
33 cancer
34 From General Revenue Fund (1101) ..............................................................................500,000
35 For the Show Me Healthy Women program
36 Expense and Equipment
37 From General Revenue Fund (1101) ..............................................................................500,000
38 Personal Service..................................................................................................473,898
39 Expense and Equipment........................................................................... 1,894,453
40 From Department of Health and Senior Services Federal Fund (1143) ......................2,368,351
41 Expense and Equipment
42 From Missouri Public Health Services Fund (1298) ........................................................20,000
43 Expense and Equipment
CCS SS SCS HCS HB 10 40
44 From Department of Health – Donated Fund (1658)........................................... 32,548
45 Total (Not to exceed 21.60 F.T.E.) ..........................................................................$10,141,579
1 Section 10.705. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For communicable disease control and prevention, provided thirty
4 percent (30%) flexibility is allowed between personal service in
5 Sections 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740,
6 10.745, 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780,
7 and 10.790, and further provided thirty percent (30%) flexibility
8 is allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service.............................................................................................$1,220,501
14 Expense and Equipment (including $949,972 one-time)......................... 2,086,982
15 From General Revenue Fund (1101) ...........................................................................3,307,483
16 Personal Service...............................................................................................1,575,665
17 Expense and Equipment........................................................................... 2,512,961
18 From Department of Health and Senior Services Federal Fund (1143) ......................4,088,626
19 Expense and Equipment
20 From Title XXI - Children’s Health Insurance Program Federal Fund
21 (1159) (including $1,737,894 one-time) ..........................................................3,547,792
22 Expense and Equipment
23 From Health Initiatives Fund (1275) ................................................................... 121,787
24 Total (Not to exceed 40.56 F.T.E.) ..........................................................................$11,065,688
1 Section 10.710. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For community health and wellness initiatives, provided thirty percent
4 (30%) flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
CCS SS SCS HCS HB 10 41
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided seventeen percent (17%) flexibility between
12 personal service and expense and equipment within the Health
13 Initiatives Fund (1275) within section 10.710, and further
14 provided three percent (3%) flexibility is allowed from this
15 section to Section 10.1050
16 Personal Service................................................................................................$308,448
17 Expense and Equipment........................................................................... 60,198
18 From General Revenue Fund (1101) ..............................................................................368,646
19 Personal Service...............................................................................................1,030,405
20 Expense and Equipment........................................................................... 6,607,136
21 From Department of Health and Senior Services Federal Fund (1143) ......................7,637,541
22 Personal Service....................................................................................................13,630
23 Expense and Equipment........................................................................... 2,532,897
24 From Health Initiatives Fund (1275) ...........................................................................2,546,527
25 Personal Service..................................................................................................168,855
26 Expense and Equipment........................................................................... 2,506,500
27 From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,675,355
28 Expense and Equipment
29 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................216,300
30 Expense and Equipment
31 From Governor’s Council on Physical Fitness Institution Gift Trust
32 Fund (1924)...........................................................................................................10,000
33 For the Adolescent Health Program
34 Personal Service
35 From General Revenue Fund (1101) ................................................................................21,228
36 Expense and Equipment
37 From Department of Health and Senior Services Federal Fund (1143) ......................2,290,073
38 Expense and Equipment
39 From Health Initiatives Fund (1275) ..................................................................................1,228
CCS SS SCS HCS HB 10 42
40 For statewide distribution of opioid antagonists approved by the Food
41 and Drug Administration
42 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 800,000
43 Total (Not to exceed 22.16 F.T.E.) ..........................................................................$16,566,898
1 Section 10.715. To the Department of Health and Senior Services
2 For tobacco addiction prevention
3 From Healthy Families Trust Fund (1625) ................................................................$1,900,000
1 Section 10.720. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For tobacco cessation services
4 From General Revenue Fund (1101) ............................................................................$100,000
5 From Department of Health and Senior Services Federal Fund (1143) .........................100,000
6 From Health Reinvestment Fund (1640) ............................................................. 2,300,000
7 Total ...........................................................................................................................$2,500,000
1 Section 10.725. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Community and Public Health administration, provided thirty
4 percent (30%) flexibility is allowed between personal service in
5 Sections 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740,
6 10.745, 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780,
7 and 10.790, and further provided thirty percent (30%) flexibility
8 is allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service
14 From General Revenue Fund (1101) .........................................................................$1,801,442
15 For the expansion of medical training and support to healthcare
16 professionals and first responders with the use of point-of-care
17 ultrasound technology
18 From General Revenue Fund (1101) (one-time) .........................................................1,870,000
19 Personal Service..................................................................................................939,934
20 Expense and Equipment........................................................................... 1,102,946
CCS SS SCS HCS HB 10 43
21 From Department of Health and Senior Services Federal Fund (1143) ......................2,042,880
22 Personal Service..................................................................................................238,602
23 Expense and Equipment........................................................................... 333,830
24 From Department of Health – Donated Fund (1658)......................................................572,432
25 Personal Service
26 From Health Initiatives Fund (1275) ...........................................................................1,338,536
27 Expense and Equipment
28 From Missouri Public Health Services Fund (1298) ........................................... 59,000
29 Total (Not to exceed 68.40 F.T.E.) ............................................................................$7,684,290
1 Section 10.730. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For emergency preparedness and response, provided $1,000,000 be used
4 to assist in maintaining the Poison Control Hotline, and further
5 provided thirty percent (30%) flexibility is allowed between
6 personal service in Sections 10.700, 10.705, 10.710, 10.725,
7 10.730, 10.735, 10.740, 10.745, 10.750, 10.755, 10.760, 10.765,
8 10.770, 10.775, 10.780, and 10.790, and further provided thirty
9 percent (30%) flexibility is allowed between expense and
10 equipment in Sections 10.700, 10.705, 10.710, 10.725, 10.730,
11 10.735, 10.740, 10.745, 10.750, 10.755, 10.760, 10.765, 10.770,
12 10.775, 10.780, and 10.790, and further provided three percent
13 (3%) flexibility is allowed from this section to Section 10.1050
14 Personal Service................................................................................................$320,922
15 Expense and Equipment........................................................................... 1,200,000
16 From General Revenue Fund (1101) ...........................................................................1,520,922
17 Personal Service...............................................................................................2,302,169
18 Expense and Equipment........................................................................... 11,635,701
19 From Department of Health and Senior Services Federal Fund (1143) ....................13,937,870
20 Personal Service....................................................................................................98,589
21 Expense and Equipment........................................................................... 24,472
22 From Missouri Public Health Service Fund (1298) ........................................................123,061
23 Personal Service....................................................................................................88,045
CCS SS SCS HCS HB 10 44
24 Expense and Equipment........................................................................... 23,785
25 From Environmental Radiation Monitoring Fund (1656) ..............................................111,830
26 Expense and Equipment
27 From Insurance Dedicated Fund (1566) .........................................................................500,000
28 For the Department to enter into an agreement with an organization that
29 administers funds derived from 190.800 to establish a HIPAA-
30 compliant communication and patient logistics platform that
31 ensures the privacy and security of the patient information
32 available for all emergency service responders and providers to
33 use
34 From Budget Stabilization Fund (1522) .........................................................................875,000
35 For outbreak response
36 From Missouri Public Health Services Fund (1298) ........................................... 300,000
37 Total (Not to exceed 36.76 F.T.E.) ..........................................................................$17,368,683
1 Section 10.735. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For environmental public health, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service.............................................................................................$2,078,174
14 Expense and Equipment........................................................................... 341,392
15 From General Revenue Fund (1101) ...........................................................................2,419,566
16 Personal Service...............................................................................................2,748,128
17 Expense and Equipment........................................................................... 3,748,278
18 From Department of Health and Senior Services Federal Fund (1143) ......................6,496,406
19 Personal Service..................................................................................................361,920
20 Expense and Equipment........................................................................... 560,400
CCS SS SCS HCS HB 10 45
21 From Child Care and Development Block Grant Federal Fund (1168)..........................922,320
22 Personal Service..................................................................................................467,430
23 Expense and Equipment........................................................................... 73,984
24 From Missouri Public Health Services Fund (1298) ......................................................541,414
25 Personal Service..................................................................................................264,624
26 Expense and Equipment........................................................................... 66,884
27 From Hazardous Waste Fund (1676) ..............................................................................331,508
28 Expense and Equipment
29 From Missouri Lead Abatement Loan Fund (1893) ...........................................................1,000
30 Expense and Equipment
31 From Health Initiatives Fund (1275) ................................................................... 179,986
32 Total (Not to exceed 76.66 F.T.E.) ..........................................................................$10,892,200
1 Section 10.740. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For genetics and newborn health services, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service................................................................................................$470,952
14 Expense and Equipment........................................................................... 693,937
15 From General Revenue Fund (1101) ...........................................................................1,164,889
16 Personal Service..................................................................................................710,043
17 Expense and Equipment........................................................................... 803,284
18 From Department of Health and Senior Services Federal Fund (1143) ......................1,513,327
19 Personal Service..................................................................................................173,323
20 Expense and Equipment........................................................................... 1,660,062
21 From Missouri Public Health Services Fund (1298) ...................................................1,833,385
CCS SS SCS HCS HB 10 46
22 Expense and Equipment
23 From Health Initiatives Fund (1275) ................................................................................10,585
24 For the SAFE-CARE Program, including implementing a regionalized
25 medical response to child abuse, providing daily review of cases
26 of children less than four (4) years of age under investigation by
27 the Missouri Department of Social Services, Children's Division,
28 and to provide medical forensics training to medical providers
29 and multi-disciplinary team members
30 From General Revenue Fund (1101) ................................................................... 250,000
31 Total (Not to exceed 19.20 F.T.E.) ............................................................................$4,772,186
1 Section 10.741. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For grants for newborn safety incubators
4 Expense and Equipment
5 From General Revenue Fund (1101) (one-time) ..........................................................$250,000
1 Section 10.745. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For health informatics and epidemiology, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service
14 From General Revenue Fund (1101) .........................................................................$1,319,570
15 Personal Service...............................................................................................2,480,925
16 Expense and Equipment........................................................................... 2,652,545
17 From Department of Health and Senior Services Federal Fund (1143) ......................5,133,470
18 Personal Service....................................................................................................57,865
19 Expense and Equipment........................................................................... 5,671
CCS SS SCS HCS HB 10 47
20 From Temporary Assistance for Needy Families Fund (1199) ........................................63,536
21 Personal Service....................................................................................................96,077
22 Expense and Equipment........................................................................... 68,048
23 From Department of Health and Senior Services Document Service
24 Fund (1646).........................................................................................................164,125
25 Expense and Equipment
26 From Health Initiatives Fund (1275) ................................................................................33,577
27 To the University of Missouri to support the Parkinson’s Disease
28 Registry in order to collect data on the incidence of Parkinson’s
29 disease in Missouri
30 From General Revenue Fund (1101) ................................................................... 300,000
31 Total (Not to exceed 55.16 F.T.E.) ............................................................................$7,014,278
1 Section 10.750. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For human immunodeficiency virus, sexually transmitted infection, and
4 Hepatitis services, provided thirty percent (30%) flexibility is
5 allowed between personal service in Sections 10.700, 10.705,
6 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750, 10.755,
7 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and further
8 provided thirty percent (30%) flexibility is allowed between
9 expense and equipment in Sections 10.700, 10.705, 10.710,
10 10.725, 10.730, 10.735, 10.740, 10.745, 10.750, 10.755, 10.760,
11 10.765, 10.770, 10.775, 10.780, and 10.790, and further provided
12 three percent (3%) flexibility is allowed from this section to
13 Section 10.1050
14 Personal Service................................................................................................$211,662
15 Expense and Equipment........................................................................... 57,500
16 From General Revenue Fund (1101) ..............................................................................269,162
17 Personal Service...............................................................................................1,582,414
18 Expense and Equipment........................................................................... 6,768,834
19 From Department of Health and Senior Services Federal Fund (1143) ......................8,351,248
20 Expense and Equipment
21 From Health Initiatives Fund (1275) ................................................................................10,309
CCS SS SCS HCS HB 10 48
22 Personal Service..................................................................................................166,780
23 Expense and Equipment........................................................................... 559,015
24 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................725,795
25 For the Ryan White program, provided the eligible income requirement
26 is at or below three hundred percent (300%) of the Federal
27 Poverty Level (FPL)
28 From General Revenue Fund (1101) ...........................................................................6,615,117
29 From Department of Health and Senior Services Federal Fund (1143) ....................92,837,317
30 Personal Service
31 From General Revenue Fund (1101) ..............................................................................700,782
32 Personal Service..................................................................................................445,659
33 Expense and Equipment........................................................................... 37,235
34 From Department of Health and Senior Services Federal Fund (1143) .............. 482,894
35 Total (Not to exceed 50.50 F.T.E.) ........................................................................$109,992,624
1 Section 10.755. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Local Public Health Agency support, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service
14 From General Revenue Fund (1101) ............................................................................$320,315
15 Personal Services ..................................................................................................65,472
16 Expense and Equipment........................................................................... 54,140
17 From Department of Health and Senior Services Federal Fund (1143) .........................119,612
18 Expense and Equipment
19 From Missouri Public Health Services Fund (1298) ........................................................14,573
CCS SS SCS HCS HB 10 49
20 For core public health functions and related expenses
21 From General Revenue Fund (1101) ...........................................................................9,672,692
22 From Title XXI - Children’s Health Insurance Program Federal Fund
23 (1159) ....................................................................................................... 9,900,000
24 Total (Not to exceed 3.84 F.T.E.) ............................................................................$20,027,192
1 Section 10.760. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For supplemental nutrition programs, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service
14 From General Revenue Fund (1101) ..............................................................................$14,837
15 Personal Service...............................................................................................4,628,871
16 Expense and Equipment........................................................................... 210,656,937
17 From Department of Health and Senior Services Federal Fund (1143)
18 (including $30,478 one-time).......................................................................215,285,808
19 For a non-profit organization located in a city with more than four
20 hundred thousand inhabitants and located in more than one
21 county, which rescues local food, prepares nutritious meals, and
22 serves to address the core causes of hunger
23 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 250,000
24 Total (Not to exceed 68.45 F.T.E.) ........................................................................$215,550,645
1 Section 10.765. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For rural health and primary care initiatives, including the Health
4 Professional Loan Repayment Program (HPLRP), provided
5 thirty percent (30%) flexibility is allowed between personal
6 service in Sections 10.700, 10.705, 10.710, 10.725, 10.730,
CCS SS SCS HCS HB 10 50
7 10.735, 10.740, 10.745, 10.750, 10.755, 10.760, 10.765, 10.770,
8 10.775, 10.780, and 10.790, and further provided thirty percent
9 (30%) flexibility is allowed between expense and equipment in
10 Sections 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740,
11 10.745, 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780,
12 and 10.790, and further provided three percent (3%) flexibility is
13 allowed from this section to Section 10.1050
14 Personal Service................................................................................................$181,000
15 Expense and Equipment........................................................................... 1,508,900
16 From General Revenue Fund (1101) ...........................................................................1,689,900
17 Personal Service..................................................................................................218,267
18 Expense and Equipment........................................................................... 1,710,781
19 From Department of Health and Senior Services Federal Fund (1143) ......................1,929,048
20 Personal Service..................................................................................................126,920
21 Expense and Equipment........................................................................... 14,450
22 From Health Initiatives Fund (1275) ..............................................................................141,370
23 Expense and Equipment
24 From Health Access Incentive Fund (1276) ...................................................................650,000
25 Expense and Equipment
26 From Professional and Practical Nursing Student Loan and Nurse Loan
27 Repayment Fund (1565) .....................................................................................158,900
28 Expense and Equipment
29 From Department of Health – Donated Fund (1658)...................................................1,031,790
30 For a rural primary care physician grant program, provided qualifying
31 primary care physicians begin practice in a Missouri county with
32 fewer than thirty-five thousand inhabitants after July 1, 2022,
33 further provided prior to the receipt of a grant award, qualifying
34 primary care physicians agree to reside and practice as a primary
35 care physician in said county for a continuous five-year period
36 and to reimburse any grant award received for a breach of the
37 requirements of this section
38 From General Revenue Fund (1101) ..............................................................................200,000
39 For medical residency program grants for specialty areas of psychiatry,
40 pediatrics, internal medicine, family practice, and obstetrics and
CCS SS SCS HCS HB 10 51
41 gynecology, and for associated costs to support the residency
42 training programs, including but not limited to, costs of teaching
43 physician salaries, provided that such grants shall not exceed
44 $100,000 annually per new residency slot; and further provided
45 that grants be made available to any provider and setting
46 accredited by the Accreditation Council for Graduate Medical
47 Education (ACGME)
48 Personal Service....................................................................................................68,603
49 Expense and Equipment........................................................................... 2,300,000
50 From General Revenue Fund (1101) ...........................................................................2,368,603
51 For the development of graduate medical education programs, including
52 but not limited to costs associated to creating and maintaining a
53 GME Technical Assistance Center, grants for creation of new
54 programs and expansion of existing programs in facilities that
55 take care of underserved and rural communities, and grants for
56 planning and other exploratory projects that position a facility to
57 sustain or increase graduate medical education opportunities
58 From General Revenue Fund (1101) ...........................................................................3,502,000
59 For graduate medical program grants for specialty areas which provide
60 specific training for physicians to prevent, diagnose, and manage
61 substance use disorder/opioid use disorder, and for associated
62 costs to support technical assistance, new and expanded GME
63 programs, expansion of residency slots within an existing
64 program, and funding for planning or other exploratory projects
65 that position the state to increase graduate medical education
66 opportunities
67 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................5,000,000
68 For the refurbishment of existing administration buildings for the
69 purpose of creating a 166 physician residency program located in
70 any city with more than one hundred sixty thousand but fewer
71 than two hundred thousand inhabitants
72 From General Revenue Fund (1101) (one-time) .........................................................3,250,000
73 Funds are to be transferred out of the State Treasury to the State
74 Board of Nursing Fund
75 From Professional and Practical Nursing Student Loan and Nurse Loan
CCS SS SCS HCS HB 10 52
76 Repayment Fund (1565) .......................................................................... 100,000
77 Total (Not to exceed 8.06 F.T.E.) ............................................................................$20,021,611
1 Section 10.770. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For oral health services and initiatives, provided thirty percent (30%)
4 flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service
14 From General Revenue Fund (1101) ..............................................................................$99,214
15 Personal Service..................................................................................................591,922
16 Expense and Equipment........................................................................... 2,022,602
17 From Department of Health and Senior Services Federal Fund (1143) ......................2,614,524
18 Personal Service
19 From Health Initiatives Fund (1275) ..................................................................................3,687
20 Expense and Equipment
21 From Department of Health – Donated Fund (1658)......................................................655,000
22 For the Elks Mobile Dental Clinic
23 Expense and Equipment
24 From General Revenue Fund (1101) ..............................................................................600,000
25 For the Missouri Donated Dental Services Program
26 Expense and Equipment
27 From General Revenue Fund (1101) ................................................................... 180,000
28 Total (Not to exceed 9.43 F.T.E.) ..............................................................................$4,152,425
1 Section 10.775. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
CCS SS SCS HCS HB 10 53
3 For minority health initiatives, provided thirty percent (30%) flexibility
4 is allowed between personal service in Sections 10.700, 10.705,
5 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750, 10.755,
6 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and further
7 provided thirty percent (30%) flexibility is allowed between
8 expense and equipment in Sections 10.700, 10.705, 10.710,
9 10.725, 10.730, 10.735, 10.740, 10.745, 10.750, 10.755, 10.760,
10 10.765, 10.770, 10.775, 10.780, and 10.790, and further provided
11 three percent (3%) flexibility is allowed from this section to
12 Section 10.1050
13 Personal Service................................................................................................$260,997
14 Expense and Equipment........................................................................... 194,713
15 From General Revenue Fund (1101) ..............................................................................455,710
16 Personal Service
17 From Department of Health and Senior Services Federal Fund (1143) .............. 39,128
18 Total (Not to exceed 4.48 F.T.E.) .................................................................................$494,838
1 Section 10.780. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For women’s health and wellness programs and services, provided thirty
4 percent (30%) flexibility is allowed between personal service in
5 Sections 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740,
6 10.745, 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780,
7 and 10.790, and further provided thirty percent (30%) flexibility
8 is allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service................................................................................................$114,085
14 Expense and Equipment........................................................................... 256,290
15 From General Revenue Fund (1101) ..............................................................................370,375
16 Personal Service..................................................................................................927,696
17 Expense and Equipment........................................................................... 5,337,082
18 From Department of Health and Senior Services Federal Fund (1143) ......................6,264,778
19 Personal Service..................................................................................................112,088
CCS SS SCS HCS HB 10 54
20 Expense and Equipment........................................................................... 4,563,582
21 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................4,675,670
22 Expense and Equipment
23 From Health Initiatives Fund (1275) ..................................................................................4,916
24 Expense and Equipment
25 From Justice for Survivors Telehealth Network Fund (1228) ........................................100,000
26 For a statewide telehealth network for forensic examinations of victims
27 of sexual offenses
28 Personal Service....................................................................................................53,603
29 Expense and Equipment........................................................................... 2,159,585
30 From General Revenue Fund (1101) ...........................................................................2,213,188
31 For the development of maternal quality control protocols to standardize
32 practices at all birth facilities across the state, provided ten
33 percent (10%) flexibility is allowed between subsections within
34 this section
35 From General Revenue Fund (1101) ...........................................................................1,000,000
36 For the establishment of a perinatal health access collaborative to allow
37 general practitioners in underserved areas to consult with medical
38 specialists elsewhere in the state, provided ten percent (10%)
39 flexibility is allowed between subsections within this section
40 From General Revenue Fund (1101) ...........................................................................1,500,000
41 For the standardization of maternal care provider trainings, including
42 screening and treating cardiovascular disorders associated with
43 pregnancy; and the treatment of mental health conditions or
44 substance use disorders during and after pregnancy, provided ten
45 percent (10%) flexibility is allowed between subsections within
46 this section
47 From General Revenue Fund (1101) ..............................................................................500,000
48 For the development and implementation of best practices for postpartum
49 plans of care, provided ten percent (10%) flexibility is allowed
50 between subsections within this section
51 From General Revenue Fund (1101) ...........................................................................1,000,000
CCS SS SCS HCS HB 10 55
52 For the development for a state Maternal & Child Health Dashboard,
53 provided ten percent (10%) flexibility is allowed between
54 subsections within this section
55 From General Revenue Fund (1101) ..............................................................................350,000
56 For the Cora Faith Walker Doula Training Program
57 For pregnancy and postpartum doulas
58 From General Revenue Fund (1101) ..............................................................................500,000
59 For the implementation of a doula registration process, including the
60 construction and maintenance of a statewide registry of doulas
61 who are trained and who, during the course of pregnancy
62 provides physical and emotional support, and further provided
63 that during labor and childbirth also provides emotional and
64 informational support to pregnant women
65 From Economic Development Advancement Fund (1783) ............................................100,000
66 For a not-for-profit located in a city with more than one hundred sixty
67 thousand but fewer than two hundred thousand inhabitants to
68 provide pregnancy and postpartum doula services, further
69 provided that the Department of Health and Senior Services shall
70 study the feasibility of and provide recommendations to the
71 General Assembly on the establishment of a statewide program
72 for the provision of pregnancy and postpartum doula services
73 From General Revenue Fund (1101) ..............................................................................225,000
74 For free health clinics located in a city with more than four hundred
75 thousand inhabitants and located in more than one county that
76 provide prenatal care, for the purpose of providing such care
77 From General Revenue Fund (1101) ..............................................................................250,000
78 For contracts for Sexual Violence Victims Services, Awareness, and
79 Education Program
80 Expense and Equipment
81 From Department of Health and Senior Services Federal Fund (1143) ......................1,287,134
82 For family planning and family planning-related services, pregnancy
83 testing, sexually transmitted disease testing and treatment,
84 including pap tests and pelvic exams, and follow-up services,
85 provided that none of the funds appropriated herein may be paid,
CCS SS SCS HCS HB 10 56
86 granted to, or expended to directly or indirectly fund procedures
87 or administrative functions of any clinic, physician's office, or
88 any other place or facility in which abortions are performed or
89 induced other than a hospital, or any affiliate of any such clinic,
90 physician's office, or place or facility in which abortions are
91 performed or induced other than a hospital, or for performing,
92 inducing, or assisting in the performance or inducing of an
93 abortion which is not necessary to save the life of the mother, for
94 encouraging a patient to have an abortion or referring a patient
95 for an abortion which is not necessary to save the life of the
96 mother, or developing or dispensing drugs, chemicals, or devices
97 intended to be used to induce an abortion which is not necessary
98 to save the life of the mother. Such services shall be available to
99 uninsured women who are at least eighteen (18) to fifty-five (55)
100 years of age with a family Modified Adjusted Gross Income for
101 the household size that does not exceed two hundred and one
102 percent (201%) of the Federal Poverty Level (FPL) and who is a
103 legal resident of the state
104 From General Revenue Fund (1101) ................................................................... 1,634,119
105 Total (Not to exceed 17.51 F.T.E.) ..........................................................................$21,975,180
1 Section 10.785. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For fetal infant mortality review services
4 From General Revenue Fund (1101) ........................................................................$1,831,926
1 Section 10.790. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For vital records certification and issuance, provided thirty percent
4 (30%) flexibility is allowed between personal service in Sections
5 10.700, 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745,
6 10.750, 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and
7 10.790, and further provided thirty percent (30%) flexibility is
8 allowed between expense and equipment in Sections 10.700,
9 10.705, 10.710, 10.725, 10.730, 10.735, 10.740, 10.745, 10.750,
10 10.755, 10.760, 10.765, 10.770, 10.775, 10.780, and 10.790, and
11 further provided three percent (3%) flexibility is allowed from
12 this section to Section 10.1050
13 Personal Service.............................................................................................$1,651,943
CCS SS SCS HCS HB 10 57
14 Expense and Equipment........................................................................... 70,900
15 From General Revenue Fund (1101) ...........................................................................1,722,843
16 Personal Service..................................................................................................142,709
17 Expense and Equipment........................................................................... 787,754
18 From Department of Health and Senior Services Federal Fund (1143) .........................930,463
19 Personal Service..................................................................................................130,693
20 Expense and Equipment........................................................................... 25,724
21 From Missouri Public Health Services Fund (1298) ......................................................156,417
22 Personal Service..................................................................................................110,956
23 Expense and Equipment........................................................................... 27,748
24 From Putative Father Registry Fund (1780) ...................................................................138,704
25 Expense and Equipment
26 From Health Initiatives Fund (1275) ................................................................................11,371
27 For the finalization of updates to the Department of Health and Senior
28 Services Vital Records System, including necessary
29 infrastructure, security enhancements, and staff training
30 From Missouri Public Health Services Fund (1298) ...................................................1,763,000
31 For an organization located in a city with more than four hundred
32 thousand inhabitants and located in more than one county that
33 provides health education and accelerates emerging technology
34 and opportunities in healthcare innovation
35 From General Revenue Fund (1101) (one-time) ............................................................700,000
36 For coroner trainings provided by the Missouri Coroners' and Medical
37 Examiners' Association
38 From Missouri State Coroner’s Training Fund (1846) ........................................ 355,482
39 Total (Not to exceed 28.40 F.T.E.) ............................................................................$5,778,280
1 Section 10.795. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 To address coronavirus preparedness and response, provided ten
4 percent (10%) flexibility is allowed between American Rescue
5 Plan Act of 2021 grant programs in this section
6 Personal Service....................................................................................................$1,585
CCS SS SCS HCS HB 10 58
7 Expense and Equipment........................................................................... 2,377,167
8 From Department of Health and Senior Services Federal Stimulus
9 Fund (2350)......................................................................................................2,378,752
10 Personal Service....................................................................................................37,712
11 Expense and Equipment........................................................................... 1,005,371
12 From Department of Health and Senior Services Federal Stimulus - 2021
13 Fund (2457)......................................................................................................1,043,083
14 To provide coronavirus mitigation efforts, including, but not
15 limited to, testing, tracing, reporting, and related expenses,
16 provided ten percent (10%) flexibility is allowed between
17 American Rescue Plan Act of 2021 grant programs in this section
18 Personal Service...............................................................................................9,402,192
19 Expense and Equipment........................................................................... 189,090,340
20 From Department of Health and Senior Services Federal Stimulus Fund
21 (2350) ...........................................................................................................198,492,532
22 For Epidemiology Laboratory Capacity – Advanced Molecular
23 Detection – Public Health Lab Preparedness, provided ten
24 percent (10%) flexibility is allowed between American Rescue
25 Plan Act of 2021 grant programs in this section
26 From Department of Health and Senior Services Federal Stimulus - 2021
27 Fund (2457)......................................................................................................4,634,965
28 For public health workforce development, provided ten percent (10%)
29 flexibility is allowed between American Rescue Plan Act of 2021
30 grant programs in this section
31 Personal Service..................................................................................................242,367
32 Expense and Equipment........................................................................... 17,983,085
33 From Department of Health and Senior Services Federal Stimulus - 2021
34 Fund (2457)....................................................................................................18,225,452
35 For Strengthening Healthcare Associated Infections and Antibiotic
36 Resistance Program Capacity, provided ten percent (10%)
37 flexibility is allowed between American Rescue Plan Act of 2021
38 grant programs in this section
39 Personal Service..................................................................................................860,359
40 Expense and Equipment........................................................................... 3,685,803
41 From Department of Health and Senior Services Federal Stimulus - 2021
CCS SS SCS HCS HB 10 59
42 Fund (2457)......................................................................................................4,546,162
43 To provide COVID-19 mitigation and prevention efforts,
44 including, but not limited to, testing, vaccinations, reporting, and
45 public health workforce enhancement, provided ten percent
46 (10%) flexibility is allowed between American Rescue Plan Act
47 of 2021 grant programs in this section
48 Personal Service...............................................................................................1,816,452
49 Expense and Equipment........................................................................... 43,433,359
50 From Department of Health and Senior Services Federal Stimulus - 2021
51 Fund (2457)....................................................................................................45,249,811
52 For the Disease Intervention Specialist Program to prevent the spread of
53 COVID-19 and other infectious diseases among vulnerable
54 communities, provided ten percent (10%) flexibility is allowed
55 between American Rescue Plan Act of 2021 grant programs in
56 this section
57 Personal Service..................................................................................................156,673
58 Expense and Equipment........................................................................... 3,697,407
59 From Department of Health and Senior Services Federal Stimulus - 2021
60 Fund (2457)......................................................................................................3,854,080
61 For immunization information systems, provided ten percent (10%)
62 flexibility is allowed between American Rescue Plan Act of 2021
63 grant programs in this section
64 Expense and Equipment
65 From Department of Health and Senior Services Federal Stimulus - 2021
66 Fund (2457).............................................................................................. 999,317
67 Total (Not to exceed 50.00 F.T.E.) ........................................................................$279,424,154
1 Section 10.800. To the Department of Health and Senior Services
2 For the State Public Health Laboratory, including providing newborn
3 screening services on weekends and holidays, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 10.1050
6 Personal Service.............................................................................................$2,878,826
7 Expense and Equipment........................................................................... 870,120
8 From General Revenue Fund (1101) ...........................................................................3,748,946
9 Personal Service...............................................................................................1,262,010
CCS SS SCS HCS HB 10 60
10 Expense and Equipment........................................................................... 2,298,268
11 From Department of Health and Senior Services Federal Fund (1143) ......................3,560,278
12 Personal Service...............................................................................................2,077,479
13 Expense and Equipment........................................................................... 6,494,336
14 From Missouri Public Health Services Fund (1298) ...................................................8,571,815
15 Personal Service..................................................................................................134,588
16 Expense and Equipment........................................................................... 473,684
17 From Safe Drinking Water Fund (1679).........................................................................608,272
18 Personal Service....................................................................................................56,057
19 Expense and Equipment........................................................................... 414
20 From Opioid Addiction Treatment and Recovery Fund (1705) .......................................56,471
21 Personal Service..................................................................................................468,515
22 Expense and Equipment........................................................................... 1,968,131
23 From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,436,646
24 Expense and Equipment
25 From Childhood Lead Testing Fund (1899) ........................................................ 65,017
26 Total (Not to exceed 113.51 F.T.E.) ........................................................................$19,047,445
1 Section 10.900. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.1050
5 Personal Service...........................................................................................$15,393,767
6 Expense and Equipment........................................................................... 1,333,490
7 From General Revenue Fund (1101) .........................................................................16,727,257
8 Personal Service.............................................................................................16,491,266
9 Expense and Equipment........................................................................... 1,621,325
10 From Department of Health and Senior Services Federal Fund (1143) ....................18,112,591
11 For Medicaid Home and Community-Based Services Program
12 reassessments, provided three percent (3%) flexibility is allowed
13 from this section to Section 10.1050
14 Personal Service..................................................................................................943,724
15 Expense and Equipment........................................................................... 866,186
CCS SS SCS HCS HB 10 61
16 From General Revenue Fund (1101) ...........................................................................1,809,910
17 Personal Service..................................................................................................943,723
18 Expense and Equipment........................................................................... 866,186
19 From Department of Health and Senior Services Federal Fund (1143) ......................1,809,909
20 Expense and Equipment
21 From Health Initiatives Fund (1275) ................................................................... 31,150
22 Total (Not to exceed 625.69 F.T.E.) ........................................................................$38,490,817
1 Section 10.905. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For non-Medicaid reimbursable senior and disability programs, provided
4 three percent (3%) flexibility is allowed from this section to
5 Section 10.1050
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$705,145
8 From Department of Health and Senior Services Federal Fund (1143) ......................2,924,500
9 From Department of Health and Senior Services Federal Stimulus - 2021
10 Fund (2457).........................................................................................................701,909
11 For a customized statewide education, peer support and coaching
12 platform to be used to address the needs of family caregivers who
13 are supporting conditions associated with, but not limited to,
14 aging, Alzheimer’s, and dementia, intellectual and
15 developmental disabilities, and pediatric care, the platform shall
16 use evidence based outcomes that; delay placements in long-term
17 facilities, reduce emergency department visits, and decrease
18 burnout of caregivers
19 From General Revenue Fund (1101) ..............................................................................949,000
20 For special health care needs programs, provided three percent (3%)
21 flexibility is allowed from this section to Section 10.1050
22 Expense and Equipment
23 From General Revenue Fund (1101) ...........................................................................1,834,778
24 From Department of Health and Senior Services Federal Fund (1143) ......................1,145,238
25 From Children’s Special Health Care Needs Service Fund (1950) ..................................30,000
26 From Brain Injury Fund (1742) ......................................................................................974,900
27 From C & M Smith Memorial Endowment Trust Fund (1873)........................... 10,000
28 Total ...........................................................................................................................$9,275,470
CCS SS SCS HCS HB 10 62
1 Section 10.910. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For providing consumer directed personal care assistance services at a
4 rate not to exceed sixty percent (60%) of the average monthly
5 Medicaid cost of nursing facility care, including payments to
6 providers for value-based payment initiatives, provided ten
7 percent (10%) flexibility is allowed between this section and
8 Section 10.915 to allow flexibility within the Medicaid Home and
9 Community Based Services Program
10 Expense and Equipment
11 From General Revenue Fund (1101) .....................................................................$255,754,909
12 From Department of Health and Senior Services Federal Fund (1143) .............. 440,209,856
13 Total .......................................................................................................................$695,964,765
1 Section 10.915. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For respite care, homemaker chore, personal care, assistive technology,
4 adult day care, AIDS, children's waiver services, home-delivered
5 meals, Programs of All Inclusive Care for the Elderly, the
6 Structured Family Caregiver Waiver, Brain Injury Waiver, other
7 related services, and program management under the Medicaid
8 fee-for-service and managed care programs, including payments
9 to providers for value-based payment initiatives. Provided that
10 individuals eligible for or receiving nursing home care must be
11 given the opportunity to have those Medicaid dollars follow them
12 to the community to the extent necessary to meet their unmet
13 needs as determined by 19 CSR 30 81.030 and further be allowed
14 to choose the personal care program option, including the option
15 of assistive technology, in the community that best meets the
16 individuals' unmet needs, provided ten percent (10%) flexibility
17 is allowed between this section and Section 10.910 to allow
18 flexibility within the Medicaid Home and Community Based
19 Services Program, and further provided that individuals eligible
20 for the Medicaid Personal Care Option must be allowed to
21 choose, from among all the program options, that option which
22 best meets their unmet needs as determined by 19 CSR 30
23 81.030; and also be allowed to have their Medicaid funds follow
24 them to the extent necessary to meet their unmet needs whichever
CCS SS SCS HCS HB 10 63
25 option they choose. This language does not create any
26 entitlements not established by statute
27 Expense and Equipment
28 From General Revenue Fund (1101) .....................................................................$239,571,579
29 From Department of Health and Senior Services Federal Fund (1143) .............. 372,590,645
30 Total .......................................................................................................................$612,162,224
1 Section 10.916. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For the purposes of funding a family complex care assistant program
4 under which a parent, guardian, family member, and any other
5 individual with a close association that is the equivalent of a
6 family relationship of an enrollee in Medicaid approved by the
7 enrollee's parent or guardian may be employed by a private duty
8 nursing agency as a Complex Care Assistant (CCA) and, under
9 the direction of a Registered Nurse, to provide CCA services to
10 the enrollee
11 From General Revenue Fund (1101) .........................................................................$3,800,000
12 From Department of Health and Senior Services Federal Fund (1143) .............. 7,200,000
13 Total .........................................................................................................................$11,000,000
1 Section 10.920. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 Funds are to be transferred out of the State Treasury to the Senior
4 Services Growth and Development Program Fund
5 From General Revenue Fund (1101) .......................................................................$10,618,433
1 Section 10.925. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For Home and Community Services grants to be distributed to the Area
4 Agencies on Aging, provided ten percent (10%) flexibility is
5 allowed between these services and meal services, and further
6 provided three percent (3%) flexibility is allowed from this
7 section to Section 10.1050
8 From General Revenue Fund (1101) .........................................................................$2,074,704
9 From Department of Health and Senior Services Federal Fund (1143)
10 (including $2,000,000 one-time)....................................................................39,244,641
CCS SS SCS HCS HB 10 64
11 For distributions to the Area Agencies on Aging, in accordance with
12 Section 192.385, RSMo, which requires the deposit of a portion
13 of the premium tax collected under Sections 148.320 and
14 148.370, RSMo, to the Senior Services Growth and Development
15 Program Fund
16 From Senior Services Growth and Development Program Fund (1419)...................21,530,621
17 For statewide implementation of the Give 5 program in partnership with
18 the Missouri Association of Area Agencies on Aging
19 From General Revenue Fund (1101) ...........................................................................1,000,000
20 For meals to be distributed to each Area Agency on Aging, provided that
21 at least $500,000 of general revenue be used for non-Medicaid
22 meals to be distributed to each Area Agency on Aging in
23 proportion to the actual number of meals served during the
24 preceding fiscal year, provided ten percent (10%) flexibility is
25 allowed between these services and grant services, and further
26 provided three percent (3%) flexibility is allowed from this
27 section to Section 10.1050
28 Expense and Equipment
29 From General Revenue Fund (1101) ...........................................................................9,731,016
30 From Department of Health and Senior Services Federal Fund (1143) ......................6,955,359
31 From Elderly Home-Delivered Meals Trust Fund (1296) ................................................62,958
32 For the Ombudsman Program operated by the Area Agencies on Aging
33 or their service providers
34 Expense and Equipment
35 From General Revenue Fund (1101) ..............................................................................150,000
36 Personal Service....................................................................................................25,250
37 Expense and Equipment........................................................................... 31,116
38 From Department of Health and Senior Services Federal Stimulus –
39 2021 Fund (2457)..................................................................................... 56,366
40 Total .........................................................................................................................$80,805,665
1 Section 10.930. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For Alzheimer’s program grants to be used by organizations serving
4 individuals with Alzheimer’s disease and their caregivers as well
CCS SS SCS HCS HB 10 65
5 as providing statewide respite assistance and support programs to
6 Missouri families to ease burden, enhance quality of life, and
7 reduce the number of persons with Alzheimer’s disease who are
8 prematurely or unnecessarily institutionalized, provided three
9 percent (3%) flexibility is allowed from this section to Section
10 10.1050
11 From General Revenue Fund (1101) .........................................................................$1,550,000
12 For caregiver training programs which include in-home visits that delay
13 the institutionalization of persons with dementia
14 From General Revenue Fund (1101) ................................................................... 650,000
15 Total ...........................................................................................................................$2,200,000
1 Section 10.935. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For senior independent living programs that support seniors aging in
4 place in communities with a high concentration of older adults,
5 provided three percent (3%) flexibility is allowed from this
6 section to Section 10.1050
7 From General Revenue Fund (1101) ............................................................................$400,000
1 Section 10.936. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For a nonprofit organization located in a city with more than one hundred
4 twenty-five thousand but fewer than one hundred sixty thousand
5 inhabitants that provides quality affordable housing opportunities
6 with supportive and economic resources to eligible households,
7 including the elderly, disabled citizens, and veterans
8 From General Revenue Fund (1101) (one-time) ..........................................................$120,000
1 Section 10.940. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For providing naturalization assistance to refugees and/or legal
4 immigrants who: have resided in Missouri more than five years,
5 are unable to benefit or attend classroom instruction, and who
6 require special assistance to successfully attain the requirements
7 to become a citizen. Services may include direct tutoring,
8 assistance with identifying and completing appropriate waiver
9 requests to the Immigration and Customs Enforcement agency,
CCS SS SCS HCS HB 10 66
10 and facilitating proper documentation. The department shall
11 award a contract under this section to a qualified not-for-profit
12 organization which can demonstrate its ability to work with this
13 population. A report shall be compiled for the General Assembly
14 evaluating the program’s effectiveness in helping senior refugees
15 and immigrants in establishing citizenship and their ability to
16 qualify individuals for Medicare
17 From General Revenue Fund (1101) ............................................................................$200,000
1 Section 10.1000. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.1050
5 Personal Service...........................................................................................$13,879,494
6 Expense and Equipment (including $100,000 one-time)......................... 2,117,707
7 From General Revenue Fund (1101) .........................................................................15,997,201
8 Personal Service.............................................................................................13,989,032
9 Expense and Equipment........................................................................... 1,423,811
10 From Department of Health and Senior Services Federal Fund (1143) ....................15,412,843
11 Personal Service...............................................................................................1,422,531
12 Expense and Equipment........................................................................... 286,589
13 From Nursing Facility Quality of Care Fund (1271) ...................................................1,709,120
14 Personal Service....................................................................................................87,497
15 Expense and Equipment........................................................................... 13,121
16 From Mammography Fund (1293) .................................................................................100,618
17 For nursing home quality initiatives
18 Expense and Equipment
19 From Nursing Facility Reimbursement Allowance Fund (1196) ...................................725,000
20 For the Time Critical Diagnosis Unit
21 Personal Service..................................................................................................464,203
22 Expense and Equipment........................................................................... 356,857
23 From General Revenue Fund (1101) ..............................................................................821,060
24 For the Bureau of Narcotics and Dangerous Drugs operations and
25 support
CCS SS SCS HCS HB 10 67
26 Personal Service..................................................................................................319,392
27 Expense and Equipment........................................................................... 4,716
28 From General Revenue Fund (1101) ..............................................................................324,108
29 Personal Service..................................................................................................100,580
30 Expense and Equipment........................................................................... 11,192
31 From Health Access Incentive Fund (1276) ...................................................................111,772
32 Expense and Equipment
33 From Opioid Addiction Treatment and Recovery Fund (1705) (one-time) ................1,700,000
34 For activities and equipment that further promote Cardiac Emergency
35 Plan preparedness, but not limited to the purchase of AEDs and
36 AED maintenance, the purchase of CPR training kits or CPR
37 training of faculty and staff, basic first aid training and
38 educational materials
39 From Budget Stabilization Fund (1522) ......................................................................2,000,000
40 For the Bureau of Narcotics and Dangerous Drugs for a Physician
41 Prescription Monitoring Program
42 Personal Service..................................................................................................290,616
43 Expense and Equipment........................................................................... 137,116
44 From General Revenue Fund (1101) ..............................................................................427,732
45 For expending Civil Monetary Penalty funding on federally approved
46 nursing facility activities and projects
47 Expense and Equipment
48 From Nursing Facility Quality Care Fund (1271) ............................................... 5,000,000
49 Total (Not to exceed 394.03 F.T.E.) ........................................................................$44,329,454
1 Section 10.1005. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 The Quality Improvement Program for Missouri (QIPMO) to
4 provide technical assistance to nursing homes, provided three
5 percent (3%) flexibility is allowed from this section to Section
6 10.1050
7 From General Revenue Fund (1101) ............................................................................$325,000
8 From Nursing Facility Reimbursement Allowance Fund (1196) ........................ 1,134,926
9 Total ...........................................................................................................................$1,459,926
CCS SS SCS HCS HB 10 68
1 Section 10.1010. To the Department of Health and Senior Services
2 For the Division of Cannabis Regulation
3 For adult use cannabis program operations and support, provided ten
4 percent (10%) flexibility is allowed between personal service and
5 expense and equipment
6 Personal Service.............................................................................................$9,225,052
7 Expense and Equipment........................................................................... 5,568,740
8 From Veterans, Health, and Community Reinvestment Fund (1608) .......................14,793,792
9 For grants to agencies and not-for-profit organizations, whether
10 government or community-based, to increase access to evidence-
11 based low-barrier drug addiction treatment, prioritizing
12 medically proven treatment and overdose prevention and reversal
13 methods and public or private treatment options with an emphasis
14 on reintegrating recipients into their local communities; to
15 support overdose prevention education; and to support job
16 placement, housing, and counseling for those with substance use
17 disorders. When evaluating grant applications, agencies and
18 organizations serving populations with the highest rates of drug-
19 related overdose shall be prioritized to receive the grants
20 From Health Reinvestment Fund (1640) ...................................................................15,918,179
21 For medical marijuana program operations and support, provided ten
22 percent (10%) flexibility is allowed between personal service and
23 expense and equipment
24 Personal Service...............................................................................................2,456,934
25 Expense and Equipment........................................................................... 6,381,547
26 From Missouri Veterans’ Health and Care Fund (1606) .............................................8,838,481
27 For the Medical Marijuana Opportunities program to provide support to
28 facilitate the inclusion of individuals in Missouri’s medical
29 marijuana industry who have been negatively and
30 disproportionately impacted by marijuana criminalization and
31 poverty
32 Expense and Equipment
33 From Missouri Veterans’ Health and Care Fund (1606) ..................................... 200,000
34 Total (Not to exceed 156.50 F.T.E.) ........................................................................$39,750,452
1 Section 10.1015. To the Department of Health and Senior Services
CCS SS SCS HCS HB 10 69
2 For grants to the Department of Mental Health
3 For youth substance use prevention
4 From Health Reinvestment Fund (1640) ......................................................................$300,000
5 For mental health community and youth services liaisons
6 From Health Reinvestment Fund (1640) .....................................................................1,825,325
7 For peer respite services
8 From Health Reinvestment Fund (1640) .....................................................................2,000,000
9 For alcohol abuse prevention
10 From Health Reinvestment Fund (1640) .....................................................................1,000,000
11 For Recovery Support Services and Recovery Community Centers
12 From Health Reinvestment Fund (1640) .....................................................................6,000,000
13 For substance use disorder treatment providers
14 From Health Reinvestment Fund (1640) .....................................................................3,225,000
15 For funding for an organization, located in a city with more than one
16 hundred sixty thousand but fewer than two hundred thousand
17 inhabitants, that works with individuals who struggle with
18 substance use and live with other mental health issues through
19 community service, awareness and education events
20 From Health Reinvestment Fund (1640) (one-time) ......................................................250,000
21 From Opioid Addiction Treatment and Recovery Fund (1705) ......................... 675,000
22 Total .........................................................................................................................$15,275,325
1 Section 10.1020. To the Department of Health and Senior Services
2 For a grant to the Supreme Court
3 For funding treatment court programs, provided that funds may be used
4 for, but are not limited to, medication assisted treatment,
5 counseling, transportation, and drug testing for Missourians with
6 substance use, mental health, or co-occurring disorders,
7 including, but not limited to, alcohol, opioid, and
8 methamphetamine addiction, pursuant to agreements between the
9 Treatment Courts Coordinating Commission and adult treatment
10 courts, DWI courts, veterans courts, mental health courts, and
11 other treatment courts of this state
12 From Health Reinvestment Fund (1640) ......................................................................$500,000
CCS SS SCS HCS HB 10 70
1 Section 10.1025. To the Department of Health and Senior Services
2 For a grant for the Department of Elementary and Secondary Education
3 For drug abuse resistance education materials and programming for
4 school drug awareness including marijuana initiatives for youth
5 From Health Reinvestment Fund (1640) ......................................................................$350,000
1 Section 10.1030. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for health
3 and care services for military veterans as provided by Article
4 XIV, Section 1 of the Missouri Constitution, to the Missouri
5 Veterans' Homes Fund, and further provided that any monies
6 remaining in the fund at the end of a biennium shall not revert to
7 the credit of the General Revenue Fund
8 From Missouri Veterans’ Health and Care Fund (1606) .........................................$13,000,000
1 Section 10.1035. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for health
3 and care services for military veterans as provided by Article
4 XIV, Section 2 of the Missouri Constitution, to the Veterans
5 Reinvestment Fund, provided the state treasurer shall invest
6 monies in the fund in the same manner as other funds are
7 invested, and any interest and monies earned on such investments
8 shall be deposited to the credit of the Veterans Reinvestment
9 Fund, and further provided that any monies remaining in the
10 Veterans Reinvestment Fund at the end of a biennium shall not
11 revert to the credit of the General Revenue Fund
12 From Veterans, Health, and Community Reinvestment Fund (1608) .....................$19,629,271
13 Funds are to be transferred out of the State Treasury for substance
14 abuse disorder treatment and education programs as provided by
15 Article XIV, Section 2 of the Missouri Constitution, to the Health
16 Reinvestment Fund, provided the state treasurer shall invest
17 monies in the fund in the same manner as other funds are
18 invested, and any interest and monies earned on such investments
19 shall be deposited to the credit of the Health Reinvestment Fund,
20 and further provided that any monies remaining in the Health
21 Reinvestment Fund at the end of a biennium shall not revert to
22 the credit of the General Revenue Fund
23 From Veterans, Health, and Community Reinvestment Fund (1608) .......................19,629,271
CCS SS SCS HCS HB 10 71
24 Funds are to be transferred out of the State Treasury for public
25 defenders as provided by Article XIV, Section 2 of the Missouri
26 Constitution, to Public Defender Reinvestment Fund, provided
27 the state treasurer shall invest monies in the fund in the same
28 manner as other funds are invested, and any interest and monies
29 earned on such investments shall be deposited to the credit of the
30 Public Defender Reinvestment Fund, and further provided that
31 any monies remaining in the Public Defender Reinvestment Fund
32 at the end of a biennium shall not revert to the credit of the
33 General Revenue Fund
34 From Veterans, Health, and Community Reinvestment Fund (1608) ................. 19,629,271
35 Total .........................................................................................................................$58,887,813
1 Section 10.1050. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for the
3 payment of claims, premiums, and expenses as provided by
4 Section 105.711 through 105.726, RSMo, to the State Legal
5 Expense Fund
6 From General Revenue Fund (1101) .......................................................................................$1
PART 2
1 Section 10.2005. To the Department of Mental Health
2 In reference to Sections 10.105, 10.115, and 10.130 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2025, with the
6 exception of Certified Community Behavioral Health Clinics, for
7 which no funds shall be expended in furtherance of a Medicare
8 Economic Index rate increase of 2.5% greater than the rate in
9 effect on January 1, 2025, with the exception of revenue
10 maximization initiatives, and further excepting rates of cost-
11 based and actuarially sound rate changes for Comprehensive
12 Substance Treatment and Rehabilitation (CSTAR) and
13 Compulsive Gambling; and further excepting providers of
14 children’s residential services classified as an Institution of
15 Mental Disease (IMD) Qualified Residential Treatment Program
16 (QRTP) or as a non-IMD QRTP, for which no funds shall be
17 expended in furtherance of rates greater than: $194.47 per day for
CCS SS SCS HCS HB 10 72
18 Level II, $239.16 per day for Level III, $253.80 per day for Level
19 IV.
1 Section 10.2010. To the Department of Mental Health
2 In reference to Sections 10.109 and 10.110 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2025, with the
5 exception of Recovery Support Services, for which no funds shall
6 be expended in furtherance of rates greater than: $34.46 for
7 Individual Counseling, $44.57 for Recovery Housing, $12.60 for
8 Care Coordination, $22.15 for Peer Support, and $4.08 for Group
9 Rehabilitative Support.
1 Section 10.2015. To the Department of Mental Health
2 In reference to Section 10.410 of Part 1 of this act:
3 No funds shall be expended in furtherance of waiver slots
4 assigned on July 1, 2025, except for: 400 additional waiver slots
5 for Crisis Residential Services, 54 additional slots for individuals
6 transitioning from Nursing Homes, 48 additional slots for
7 children transitioning from DSS Children's Division funded
8 waiver slots, 500 additional waiver slots for the Community
9 Support Waiver for prevention of in-home wait list, 200
10 additional waiver slots for Partnership for Hope services, and 83
11 additional waiver slots for children transitioning out of the
12 MoCDD Waiver.
1 Section 10.2020. To the Department of Mental Health
2 In reference to Section 10.415 of Part 1 of this act:
3 No funds shall be expended in furtherance of a DD Health Home
4 rate of $105.90 PMPM.
1 Section 10.2025. To the Department of Health and Senior Services
2 In reference to Sections 10.905, 10.910, and 10.915 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2025, except Private
6 Duty Nursing rates for which no funds shall be expended in
7 furtherance of provider rates for Private Duty Nursing greater
8 than a rate of $15.20 per fifteen-minute unit of service, and
9 further excepting provider reassessment services rates, for which
CCS SS SCS HCS HB 10 73
10 no funds shall be expended in furtherance of rates greater than
11 $100 per assessment, unless such provider is enrolled in the
12 Value Based Purchasing Reassessment Program, and further
13 excepting the Medicaid Home-Delivered Meals rate for which no
14 funds shall be expended in furtherance of provider rates for
15 Medicaid Home-Delivered Meals greater than $7.14 per meal.
1 Section 10.2035. To the Department of Health and Senior Services
2 In reference to Section 10.1000 of Part 1 of this act:
3 No funds shall be expended for Certified Nursing Assistant
4 (CNA) training reimbursement greater than $1,500 per enrollee.
PART 3
1 Section 10.3005. To the Department of Mental Health
2 In reference to Sections 10.005 through and including 10.575 in
3 of Part 1 of this act:
4 The Department shall provide monthly reports to the House
5 Budget and Senate Appropriations Committee Chairs for each
6 DMH Medicaid waiver, large service type by waiver, and
7 targeted case management costs: 1) The actual federal and state
8 share expenditures by appropriation and fund, number of waiver
9 slots assigned, average cost per slot, estimated current fiscal year
10 costs, estimated full fiscal year costs; 2) The actual federal and
11 state share expenditures by appropriation and fund, number of
12 new waiver slots assigned in FY 2026, average cost per slot,
13 estimated current fiscal year costs, estimated full fiscal year
14 costs; and 3) The number of individuals presenting for service
15 that have not been assigned a waiver slot, estimated current fiscal
16 year federal and state share costs if they were to be assigned,
17 estimated full fiscal year costs if they were to be assigned.
1 Section 10.3010. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 and Part 2 of this act:
4 The Departments shall provide written notification and
5 correspondence from the federal government of non-compliance
6 with federal programs or grants to the House Budget and Senate
7 Appropriation Committee Chairs.
CCS SS SCS HCS HB 10 74
1 Section 10.3015. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in of Part 1 of this act:
4 The Departments shall provide written documentation of rate
5 setting reports, rate studies, time surveys, time studies, and
6 random moment time studies; and the federal and state share
7 fiscal impact estimates, to the House Budget and Senate
8 Appropriation Committee Chairs.
1 Section 10.3020. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 and Part 2 of this act:
4 The Department shall provide copies of financial reports,
5 maintenance of effort reports, and public assistance cost
6 allocation plans submitted to the federal government and
7 supporting cash on hand reports, by grant, to the House Budget
8 and Senate Appropriation Committee Chairs.
Department of Mental Health Totals
General Revenue Fund (4,951.82 F.T.E.) ...........................................................$1,780,195,793
Federal Funds (2,258.13 F.T.E.) ...........................................................................2,580,216,757
Other Funds (21.50 F.T.E.) .................................................................................. 95,742,026
Total (7,231.45 F.T.E.) .......................................................................................$4,456,154,576
Department of Health and Senior Services Totals
General Revenue Fund (659.93 F.T.E.) .................................................................$631,632,329
Federal Funds (1,004.31 F.T.E.) ...........................................................................1,597,608,484
Other Funds (319.01 F.T.E.) ............................................................................... 117,878,124
Total (1,983.25 F.T.E.) .......................................................................................$2,347,118,937
Every fact on this page links to its source, starting with the official bill record.