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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. 11
0011H.06T 103RD GENERAL ASSEMBLY
2025
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Social Services, and the several divisions and programs thereof, to be expended only
as provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer
money among certain funds for the period beginning July 1, 2025, and ending June 30,
2026.
Be it enacted by the General Assembly of the state of Missouri, as follows:
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 11.000. Each appropriation in this act shall consist of the item
2 or 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
6 1. Any clarification of purpose in Part 2 shall state the section or
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
CCS SS SCS HCS HB 11 2
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 Social
15 Services in implementing the appropriations found in Part 1 and
16 Part 2 of this act. An appropriation may be comprised in whole
17 or in part of a one-time amount, and such one-time amount shall
18 be construed to be a component part of, and not in addition to, the
19 stated appropriation amount. Any amount of an appropriation
20 identified as “one-time” in this act shall not be considered an
21 addition to any ongoing core appropriation(s) in future fiscal
22 periods beyond June 30, 2026. Any amount identified as one-time
23 may, however, be requested in any future fiscal period as a new
24 decision item.
1 Section 11.005. To the Department of Social Services
2 For the Office of the Director
3 For the Director’s Office, provided three percent (3%) flexibility is
4 allowed from this section to Section 11.905
5 Personal Service................................................................................................$154,437
6 Annual salary adjustment in accordance with Section 105.005,
7 RSMo ......................................................................................................................6,362
8 Expense and Equipment........................................................................... 33,676
9 From General Revenue Fund (1101) ..............................................................................194,475
10 Personal Service..................................................................................................183,905
11 Annual salary adjustment in accordance with Section 105.005,
12 RSMo ......................................................................................................................2,740
13 Expense and Equipment........................................................................... 1,197
14 From Department of Social Services Federal Fund (1610) ............................................187,842
15 Personal Service....................................................................................................43,323
16 Annual salary adjustment in accordance with Section 105.005,
17 RSMo ....................................................................................................... 685
18 From Child Support Enforcement Fund (1169)................................................... 44,008
19 Total (Not to exceed 2.93 F.T.E.) .................................................................................$426,325
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1 Section 11.010. To the Department of Social Services
2 For the Office of the Director
3 For the Director’s Office, Children’s Division Residential Program Unit
4 For administrative expenses
5 Personal Service.............................................................................................$1,399,932
6 Expense and Equipment (including $4,413 one-time)............................. 162,625
7 From General Revenue Fund (1101) ...........................................................................1,562,557
8 Personal Service..................................................................................................573,659
9 Expense and Equipment (including $4,414 one-time)............................. 27,003
10 From Department of Social Services Federal Fund (1610) ................................. 600,662
11 Total (Not to exceed 33.00 F.T.E.) ............................................................................$2,163,219
1 Section 11.015. To the Department of Social Services
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 that the General Assembly shall be notified of the
7 source of any new funds and the purpose for which they shall be
8 expended, in writing, prior to the use of said funds
9 From Department of Social Services Federal Fund (1610) .......................................$2,000,000
10 From Family Services Donations Fund (1167).................................................... 33,999
11 Total ...........................................................................................................................$2,033,999
1 Section 11.020. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the OA
3 Information Technology Federal Fund
4 From Department of Social Services Federal Fund (1610) .....................................$21,141,931
1 Section 11.022. To the Department of Social Services
2 For the Office of the Director
3 For implementation on the citizen engagement platform of a Medicaid
4 application providing transparency and two-way communication
5 for efficient application processing and data collection as well as
6 additional functionality necessary to improve efficiency in
7 processing applications for assistance, provided the department
8 shall procure services in compliance with Chapter 34 RSMo.
9 From General Revenue Fund (1101) (one-time) .......................................................$4,000,000
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1 Section 11.025. To the Department of Social Services
2 For the Office of the Director
3 For the Human Resources Center, provided three percent (3%) flexibility
4 is allowed from this section to Section 11.905
5 Personal Service................................................................................................$377,106
6 Expense and Equipment........................................................................... 11,068
7 From General Revenue Fund (1101) ..............................................................................388,174
8 Personal Service..................................................................................................235,005
9 Expense and Equipment........................................................................... 29,850
10 From Department of Social Services Federal Fund (1610) ............................................264,855
11 Personal Service
12 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 28,577
13 Total (Not to exceed 10.50 F.T.E.) ...............................................................................$681,606
1 Section 11.030. To the Department of Social Services
2 For the Office of the Director
3 For the State Technical Assistance Team (STAT)
4 For the prevention and investigation of child abuse, child neglect, child
5 sexual abuse, child exploitation/pornography or child fatality
6 cases, as described in Sections 660.520 to 660.528, RSMo, and
7 for administrative expenses, provided five percent (5%)
8 flexibility is allowed between personal service and expense and
9 equipment; and further provided three percent (3%) flexibility is
10 allowed from this section to Section 11.905
11 Personal Service.............................................................................................$2,071,660
12 Expense and Equipment........................................................................... 224,036
13 From General Revenue Fund (1101) (Not to exceed 33.50 F.T.E.) ..........................$2,295,696
1 Section 11.035. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit, provided five
4 percent (5%) 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 11.905
7 Personal Service.............................................................................................$1,976,621
8 Expense and Equipment........................................................................... 400,061
9 From General Revenue Fund (1101) ...........................................................................2,376,682
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10 Personal Service...............................................................................................2,469,950
11 Expense and Equipment........................................................................... 900,498
12 From Department of Social Services Federal Fund (1610) .........................................3,370,448
13 Personal Service....................................................................................................14,157
14 Expense and Equipment........................................................................... 4,095
15 From FMAP Enhancement – Expansion Fund (2466) .....................................................18,252
16 Expense and Equipment
17 From Recovery Audit and Compliance Fund (1974) .......................................................82,087
18 Personal Service..................................................................................................342,361
19 Expense and Equipment (including $1,298,549 one-time)...................... 1,440,495
20 From Medicaid Provider Enrollment Fund (1990) .............................................. 1,782,856
21 Total (Not to exceed 90.05 F.T.E.) ............................................................................$7,630,325
1 Section 11.040. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
4 For a case management, provider enrollment, and fraud abuse and
5 detection system, provided three percent (3%) flexibility is
6 allowed from this section to Section 11.905
7 Expense and Equipment
8 From General Revenue Fund (1101) .........................................................................$1,141,709
9 From Department of Social Services Federal Fund (1610) ................................. 5,858,291
10 Total ...........................................................................................................................$7,000,000
1 Section 11.045. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
4 For the design, development, implementation, maintenance, and
5 operation costs for a Medicaid provider enrollment system
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$623,806
8 From Department of Social Services Federal Fund (1610) (one-time) ............... 17,301,192
9 Total .........................................................................................................................$17,924,998
1 Section 11.050. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
CCS SS SCS HCS HB 11 6
4 For recovery audit services
5 Expense and Equipment
6 From Recovery Audit and Compliance Fund (1974) ................................................$1,200,000
1 Section 11.055. To the Department of Social Services
2 For the Division of Finance and Administrative Services, provided three
3 percent (3%) flexibility is allowed from this section to Section
4 11.905
5 Personal Service.............................................................................................$2,251,869
6 Expense and Equipment........................................................................... 382,549
7 From General Revenue Fund (1101) ...........................................................................2,634,418
8 Personal Service...............................................................................................1,310,944
9 Expense and Equipment........................................................................... 251,278
10 From Department of Social Services Federal Fund (1610) .........................................1,562,222
11 Personal Service......................................................................................................5,246
12 Expense and Equipment........................................................................... 317
13 From Department of Social Services Administrative Trust Fund (1545)...........................5,563
14 Personal Service....................................................................................................65,736
15 Expense and Equipment........................................................................... 750
16 From Child Support Enforcement Fund (1169)................................................................66,486
17 For the centralized inventory system, for reimbursable goods and
18 services provided by the department, and for related equipment
19 replacement and maintenance expenses
20 From Department of Social Services Administrative Trust Fund (1545)............ 1,200,000
21 Total (Not to exceed 50.52 F.T.E.) ............................................................................$5,468,689
1 Section 11.060. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the Child Welfare Eligibility Unit
4 For administrative expenses, provided five percent (5%) flexibility is
5 allowed between personal service and expense and equipment
6 Personal Service................................................................................................$881,572
7 Expense and Equipment........................................................................... 21,300
8 From General Revenue Fund (1101) ..............................................................................902,872
9 Personal Service..................................................................................................779,815
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10 Expense and Equipment........................................................................... 18,964
11 From Department of Social Services Federal Fund (1610) ................................. 798,779
12 Total (Not to exceed 35.00 F.T.E.) ............................................................................$1,701,651
1 Section 11.065. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the Compliance Services Unit
4 For administrative expenses
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$212,461
7 From Department of Social Services Federal Fund (1610) ............................................136,746
8 From Temporary Assistance for Needy Families Federal Fund (1199) .........................255,985
9 From Victims of Crime Act Federal Fund (1146) ..........................................................178,134
10 For contracted compliance monitoring and fiscal monitoring services
11 Expense and Equipment
12 From Department of Social Services Federal Fund (1610) .........................................1,031,110
13 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 578,663
14 Total (Not to exceed 11.00 F.T.E.) ............................................................................$2,393,099
1 Section 11.070. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the payment of fees to contractors who engage in revenue
4 maximization projects on behalf of the Department of Social
5 Services and the General Assembly
6 From Department of Social Services Federal Fund (1610) ..........................................$750,000
7 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 250,000
8 Total ...........................................................................................................................$1,000,000
1 Section 11.075. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the receipt and disbursement of refunds and incorrectly deposited
4 receipts to allow the over-collection of accounts receivables to be
5 paid back to the recipient, provided ten percent (10%) flexibility
6 is allowed between federal and other funds within this section
7 From Title XIX - Adult Expansion Federal Fund (1358) .............................................$450,000
8 From FMAP Enhancement – Expansion Fund (2466) ...................................................450,000
9 From Federal and Other Fund (1189) ..........................................................................1,500,000
10 From Department of Social Services Federal Fund (1610) .........................................5,025,000
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11 From Temporary Assistance for Needy Families Federal Fund (1199) ...........................27,000
12 From Title XIX - Federal Fund (1163) ......................................................................10,250,000
13 From Third Party Liability Collections Fund (1120)......................................................369,000
14 From Victims of Crime Act Federal Fund (1146). .........................................................300,000
15 From Title XXI - Children’s Health Insurance Program Federal
16 Fund (1159)......................................................................................................1,500,000
17 From Pharmacy Rebates Fund (1114) ..............................................................................25,000
18 From Premium Fund (1885) ................................................................................ 5,500,000
19 Total .........................................................................................................................$25,396,000
1 Section 11.080. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For payments to counties and the City of St. Louis toward the care and
4 maintenance of each delinquent or dependent child as provided
5 in Section 211.156, RSMo, provided three percent (3%)
6 flexibility is allowed from this section to Section 11.905
7 From General Revenue Fund (1101) .........................................................................$1,171,980
1 Section 11.085. To the Department of Social Services
2 For the Division of Legal Services administrative expenses, provided
3 three percent (3%) flexibility is allowed from this section to
4 Section 11.905
5 Personal Service.............................................................................................$2,716,843
6 Expense and Equipment........................................................................... 132,924
7 From General Revenue Fund (1101) ...........................................................................2,849,767
8 Personal Service...............................................................................................2,410,360
9 Expense and Equipment........................................................................... 171,885
10 From Department of Social Services Federal Fund (1610) .........................................2,582,245
11 Personal Service..................................................................................................749,526
12 Expense and Equipment........................................................................... 230,773
13 From Temporary Assistance for Needy Families Federal Fund (1199) .........................980,299
14 Personal Service..................................................................................................719,349
15 Expense and Equipment........................................................................... 91,158
16 From Third Party Liability Collections Fund (1120)......................................................810,507
17 Personal Service
18 From Child Support Enforcement Fund (1169)................................................... 178,880
CCS SS SCS HCS HB 11 9
19 Total (Not to exceed 107.42 F.T.E.) ..........................................................................$7,401,698
1 Section 11.090. To the Department of Social Services
2 For the Division of Legal Services
3 For permanency attorneys and permanency attorney contracted services,
4 including reunification, guardianship, adoption, or termination of
5 parental rights, for children in the care, custody, or involved with
6 the Children’s Division, provided twenty five percent (25%)
7 flexibility is allowed from expense and equipment to personal
8 service, and further provided fifty percent (50%) flexibility is
9 allowed from personal service to expense and equipment, and
10 further provided five percent (5%) flexibility is allowed between
11 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
12 and 11.480
13 Personal Service.............................................................................................$3,599,951
14 Expense and Equipment........................................................................... 2,386,211
15 From General Revenue Fund (1101) ...........................................................................5,986,162
16 Personal Service...............................................................................................1,802,820
17 Expense and Equipment........................................................................... 1,415,506
18 From Department of Social Services Federal Fund (1610) .........................................3,218,326
19 Personal Service
20 From Temporary Assistance for Needy Families Federal Fund (1199) .........................252,379
21 Personal Service
22 From Third Party Liability Collections Fund (1120)........................................................67,045
23 Personal Service
24 From Child Support Enforcement Fund (1169)................................................................14,061
25 For Title IV-E reimbursements to counties, the City of St. Louis, and
26 other organizations who receive public dollars for the legal
27 representation of parents and children in juvenile or family courts
28 From Department of Social Services Federal Fund (1610) ............................................600,000
29 For non-recurring adoption or legal guardianship expenses related to
30 permanency, including but not limited to: reasonable and
31 necessary adoption fees, court costs, attorney fees and other
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32 expenses which are directly related to the legal adoption or legal
33 guardianship
34 From General Revenue Fund (1101) ...........................................................................2,019,345
35 From Department of Social Services Federal Fund (1610) ............................................826,778
36 From Temporary Assistance for Needy Families Federal Fund (1199) .........................408,177
37 For a program to provide legal representation for parents of children who
38 are the subject of child abuse and neglect investigations under
39 Chapter 210 and potential court proceedings under Chapter 211
40 From Department of Social Services Federal Fund (1610) ................................. 150,000
41 Total (Not to exceed 69.00 F.T.E.) ..........................................................................$13,542,273
1 Section 11.091. To the Department of Social Services
2 For the Division of Legal Services
3 For a not-for-profit organization to provide legal assistance for kinship
4 placements with non-contested guardianship cases in a county
5 with more than seven hundred thousand but fewer than eight
6 hundred thousand inhabitants, and a county with more than two
7 hundred thirty thousand but fewer than two hundred sixty
8 thousand inhabitants, and a county with more than one hundred
9 thousand but fewer than one hundred twenty thousand inhabitants
10 and with a county seat with more than four thousand but fewer
11 than six thousand inhabitants, and a county with more than one
12 hundred thousand but fewer than one hundred twenty thousand
13 inhabitants, and with a county seat with more than nine thousand
14 but fewer than eleven thousand inhabitants, and in a county with
15 more than twenty-two thousand but fewer than twenty-five
16 thousand inhabitants and with a county seat with more than nine
17 thousand but fewer than twelve thousand five hundred
18 inhabitants, and in a county with more than one hundred fifty
19 thousand but fewer than two hundred thousand inhabitants, and
20 in a county with more than forty thousand but fewer than fifty
21 thousand inhabitants and with a county seat with more than ten
22 thousand but fewer than fourteen thousand inhabitants, and in a
23 county with more than seventy thousand but fewer than eighty
24 thousand inhabitants, and in a county with more than fourteen
25 thousand but fewer than fifteen thousand seven hundred
26 inhabitants and with a county seat with more than three thousand
27 but fewer than four thousand five hundred fifty inhabitants, to
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28 help children remain safely with kinship caregivers and prevent
29 the need for foster care placement
30 From General Revenue Fund (1101) ............................................................................$200,000
1 Section 11.100. To the Department of Social Services
2 For the Family Support Division, provided three percent (3%) flexibility
3 is allowed from this section to Section 11.905
4 Personal Service.............................................................................................$2,214,769
5 Expense and Equipment........................................................................... 24,929
6 From General Revenue Fund (1101) ...........................................................................2,239,698
7 Personal Service...............................................................................................3,844,901
8 Expense and Equipment........................................................................... 5,570,815
9 From Department of Social Services Federal Fund (1610) .........................................9,415,716
10 Personal Service....................................................................................................51,137
11 Expense and Equipment........................................................................... 501,513
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................552,650
13 Personal Service
14 From Child Support Enforcement Fund (1169)................................................... 657,029
15 Total (Not to exceed 109.80 F.T.E.) ........................................................................$12,865,093
1 Section 11.105. To the Department of Social Services
2 For the Family Support Division
3 For the income maintenance field staff and operations, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 11.905
6 Personal Service...........................................................................................$27,779,843
7 Expense and Equipment (including $1,000,000 one-time)...................... 3,917,852
8 From General Revenue Fund (1101) .........................................................................31,697,695
9 Personal Service.............................................................................................44,632,651
10 Expense and Equipment (including $3,622,121 one-time)...................... 18,583,707
11 From Department of Social Services Federal Fund (1610) .......................................63,216,358
12 Personal Service..................................................................................................816,197
13 Expense and Equipment........................................................................... 3,879,836
14 From FMAP Enhancement – Expansion Fund (2466) ................................................4,696,033
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15 Personal Service..................................................................................................434,233
16 Expense and Equipment........................................................................... 95,138
17 From Temporary Assistance for Needy Families Federal Fund (1199) .........................529,371
18 Personal Service...............................................................................................1,037,345
19 Expense and Equipment........................................................................... 27,924
20 From Health Initiatives Fund (1275) ................................................................... 1,065,269
21 Total (Not to exceed 1,602.23 F.T.E.) ...................................................................$101,204,726
1 Section 11.110. To the Department of Social Services
2 For the Family Support Division
3 For the Income Maintenance (IM) Call Center
4 For state operated and contracted call center administrative and
5 operational expenses, provided ten percent (10%) flexibility is
6 allowed between subsections within this section
7 For Medicaid and Children’s Health Insurance Program (CHIP)
8 eligibility
9 Personal Service................................................................................................$920,389
10 Expense and Equipment........................................................................... 1,544,470
11 From General Revenue Fund (1101) ...........................................................................2,464,859
12 Personal Service...............................................................................................2,768,127
13 Expense and Equipment........................................................................... 4,632,904
14 From Department of Social Services Federal Fund (1610) .........................................7,401,031
15 For Adult Expansion Group (AEG) eligibility, as described in Section
16 36(c) of Article IV of the Missouri Constitution
17 Personal Service..................................................................................................315,567
18 Expense and Equipment........................................................................... 540,473
19 From FMAP Enhancement - Expansion Fund (2466) ....................................................856,040
20 Personal Service..................................................................................................965,469
21 Expense and Equipment........................................................................... 1,621,418
22 From Department of Social Services Federal Fund (1610) .........................................2,586,887
23 For Supplemental Nutrition Assistance Program (SNAP) eligibility
24 Personal Service...............................................................................................5,898,305
25 Expense and Equipment........................................................................... 3,882,701
26 From General Revenue Fund (1101) ...........................................................................9,781,006
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27 Personal Service...............................................................................................6,367,424
28 Expense and Equipment........................................................................... 3,881,515
29 From Department of Social Services Federal Fund (1610) .......................................10,248,939
30 For Temporary Assistance eligibility
31 Personal Service..................................................................................................552,291
32 Expense and Equipment........................................................................... 245,951
33 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 798,242
34 Total (Not to exceed 438.00 F.T.E.) ........................................................................$34,137,004
1 Section 11.115. To the Department of Social Services
2 For the Family Support Division
3 For the Income Maintenance (IM) Call Center
4 For the operation of the Interactive Voice Response (IVR) System
5 For Medicaid and Children’s Health Insurance Program (CHIP)
6 eligibility
7 Expense and Equipment
8 From General Revenue Fund (1101) (one-time) ..........................................................$176,710
9 From Department of Social Services Federal Fund (1610) (one-time) ..........................323,290
10 For Supplemental Nutrition Assistance Program (SNAP) eligibility
11 Expense and Equipment
12 From General Revenue Fund (1101) (one-time) ............................................................176,710
13 From Department of Social Services Federal Fund (1610) (one-time) ............... 323,290
14 Total ...........................................................................................................................$1,000,000
1 Section 11.120. To the Department of Social Services
2 For the Family Support Division
3 For public acute care hospital partnerships to assist with eligibility
4 determinations for Medicaid and CHIP
5 From General Revenue Fund (1101) .........................................................................$1,000,000
6 From Department of Social Services Federal Fund (1610) ................................. 1,000,000
7 Total ...........................................................................................................................$2,000,000
1 Section 11.125. To the Department of Social Services
2 For the Family Support Division
3 For income maintenance and child support staff training, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 11.905
6 Expense and Equipment
CCS SS SCS HCS HB 11 14
7 From General Revenue Fund (1101) ............................................................................$105,069
8 From Department of Social Services Federal Fund (1610) ................................. 110,723
9 Total ..............................................................................................................................$215,792
1 Section 11.126. To the Department of Social Services
2 For the Family Support Division
3 For a statewide healthy food incentive program that matches
4 Supplemental Nutrition Assistance Program (SNAP, or food
5 assistance) dollars spent at farmers markets, farm stands, mobile
6 markets and grocery stores in Missouri, to provide SNAP
7 recipients greater access to fresh vegetables and fruit
8 From General Revenue Fund (1101) (one-time) .......................................................$2,000,000
1 Section 11.127. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization established in 2018 to provide benefits and
4 services as provided by the Refugee Act of 1980 as amended;
5 whose mission and vision is promoting the well-being and
6 inclusion of refugees by resourcing and coordinating resettlement
7 programs across the state; and subcontracts or partners with local
8 refugee resettlement programs throughout the state to ensure
9 access to resources needed to help populations serviced rebuild
10 their lives
11 From Department of Social Services Federal Fund (1610) .....................................$37,904,538
1 Section 11.130. To the Department of Social Services
2 For the Family Support Division
3 For the Electronic Benefit Transfers (EBT) system
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$835,130
6 From Department of Social Services Federal Fund (1610) ............................................834,797
7 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 100,000
8 Total ...........................................................................................................................$1,769,927
1 Section 11.135. To the Department of Social Services
2 For the Family Support Division
3 For the Summer Electronic Benefit Transfer (EBT) program
4 For administrative expenses
5 Personal Service................................................................................................$171,367
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6 Expense and Equipment........................................................................... 11,543
7 From General Revenue Fund (1101) ..............................................................................182,910
8 Personal Service..................................................................................................171,367
9 Expense and Equipment........................................................................... 11,543
10 From Department of Social Services Federal Fund (1610) ................................. 182,910
11 Total (Not to exceed 6.00 F.T.E.) .................................................................................$365,820
1 Section 11.140. To the Department of Social Services
2 For the Family Support Division
3 For the Summer Electronic Benefit Transfer (EBT) program
4 For contracted vendor costs
5 Expense and Equipment
6 From General Revenue Fund (1101) .........................................................................$6,413,100
7 From Department of Social Services Federal Fund (1610) ................................. 6,413,100
8 Total .........................................................................................................................$12,826,200
1 Section 11.141. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri SuN Bucks Summer Electronic Benefit Transfer (EBT)
4 program benefit disbursements
5 From Department of Social Services Federal Fund (1610) .....................................$51,500,000
1 Section 11.142. To the Department of Social Services
2 For the Family Support Division
3 For the costs of judgment and other expenses related to resolution of the
4 HHS Technology Group Holdings, LLC v. State of Missouri,
5 Case No. WD86036
6 From General Revenue Fund (1101) (one-time) .....................................................$48,781,865
7 From Department of Social Services Federal Fund (1610) (one-time) ............... 43,903,679
8 Total .........................................................................................................................$92,685,544
1 Section 11.145. To the Department of Social Services
2 For the Family Support Division
3 For the receipt of funds from the Polk County and Bolivar Charitable
4 Trust for the exclusive benefit and use of the Polk County Office
5 From Family Services Donations Fund (1167)...............................................................$10,000
1 Section 11.150. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 16
3 For contractor, hardware, and other costs associated with planning,
4 development, and implementation of a Family Assistance
5 Management Information System (FAMIS), provided three
6 percent (3%) flexibility is allowed from this section to Section
7 11.905
8 Expense and Equipment
9 From General Revenue Fund (1101) ............................................................................$571,908
10 From Department of Social Services Federal Fund (1610) ..............................................73,422
11 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000
12 Total ...........................................................................................................................$1,045,330
1 Section 11.155. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri Eligibility Determination and Enrollment System
4 (MEDES), provided ten percent (10%) flexibility is allowed
5 between Sections 11.155 and 11.160, and further provided three
6 percent (3%) flexibility is allowed from this section to Section
7 11.905
8 For the design, development, implementation, maintenance and
9 operation costs of the Medicaid and Children’s Health Insurance
10 Program (CHIP) eligibility categories under the Modified
11 Adjusted Gross Income (MAGI) based methodology
12 Expense and Equipment, excluding employee administrative
13 costs
14 From General Revenue Fund (1101) .........................................................................$1,679,105
15 From Department of Social Services Federal Fund (1610) .......................................25,179,260
16 From FMAP Enhancement - Expansion Fund (2466) ....................................................500,000
17 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,300,007
18 From Health Initiatives Fund (1275) ...........................................................................1,000,004
19 For the design, development, and implementation costs for Supplemental
20 Nutrition Assistance Program (SNAP)
21 Expense and Equipment, excluding employee administrative costs
22 From General Revenue Fund (1101) ...........................................................................2,688,120
23 From Department of Social Services Federal Fund (1610) .......................................11,058,108
24 From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000
25 For the design, development, and implementation costs for Temporary
26 Assistance (TA)
CCS SS SCS HCS HB 11 17
27 Expense and Equipment, excluding employee administrative costs
28 From Temporary Assistance for Needy Families Federal Fund (1199) .........................200,000
29 For the expenses for the independent verification and validation (IV&V)
30 services
31 Expense and Equipment, excluding employee administrative costs
32 From General Revenue Fund (1101) ..............................................................................352,983
33 From Department of Social Services Federal Fund (1610) ............................................970,537
34 For the expenses related to the enterprise content management (ECM)
35 system
36 Expense and Equipment, excluding employee administrative costs
37 From General Revenue Fund (1101) (including $577,416 one-time) .........................1,031,283
38 From Department of Social Services Federal Fund (1610) (including
39 $890,587 one-time) ..........................................................................................3,118,087
40 For the expenses related to the project management office (PMO)
41 Expense and Equipment
42 From General Revenue Fund (1101) ...........................................................................1,359,631
43 From Department of Social Services Federal Fund (1610) ................................. 2,661,566
44 Total .........................................................................................................................$55,098,691
1 Section 11.160. To the Department of Social Services
2 For the Family Support Division
3 For third party eligibility verification services: in order to improve the
4 accuracy of Medicaid, SNAP and TANF eligibility
5 determinations and redeterminations, increase operational
6 efficiencies, achieve cost savings, and minimize fraud, the
7 Missouri Department of Social Services shall obtain real-time
8 employment and income data (up-to-date, non-modeled
9 employment and income data provided by employers and/or
10 payroll providers) from a payroll data provider, as defined by the
11 Fair Credit Reporting Act, 15 U.S.C. s.1681 et seq., provided the
12 term "payroll data provider" means payroll providers, wage
13 verification companies, and other commercial or non-
14 commercial entities that collect and maintain data regarding
15 employment and wages; and further provided the contractors
16 shall also, on a monthly basis, identify participants of covered
17 programs who have died, moved out of state, or been incarcerated
CCS SS SCS HCS HB 11 18
18 longer than 90 days, provided ten percent (10%) flexibility is
19 allowed between Sections 11.155 and 11.160
20 Expense and Equipment
21 From General Revenue Fund (1101) .........................................................................$4,197,481
22 From Department of Social Services Federal Fund (1610) .........................................9,946,513
23 From FMAP Enhancement – Expansion Fund (2466) ...................................................654,781
24 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 217,878
25 Total .........................................................................................................................$15,016,653
1 Section 11.165. To the Department of Social Services
2 For the Family Support Division
3 For the Food Nutrition Program
4 From Department of Social Services Federal Fund (1610) .....................................$14,343,791
1 Section 11.166. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization in a city with more than four hundred
4 thousand inhabitants and located in more than one county that
5 provides a supportive and engaging environment for senior
6 citizens, offering a variety of activities designed to promote
7 cognitive health, social interaction, and overall well-being
8 From General Revenue Fund (1101) ............................................................................$100,000
1 Section 11.169. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization located in a city not within a county that
4 provides programs that address community needs listed in RSMO
5 Chapter 660.025, including but not limited to workforce
6 development, job placement, learning the English language, and
7 mental health services
8 From General Revenue Fund (1101) .........................................................................$2,500,000
1 Section 11.170. To the Department of Social Services
2 For the Family Support Division
3 For Missouri Work Programs
4 For a century-old viable non-profit entity located in a city not within a
5 county that annually serves over one hundred thousand clients
6 regionally assisting participants to become successful employees
CCS SS SCS HCS HB 11 19
7 and that serves economically disadvantaged males and females to
8 find jobs and have the opportunity to earn livable wages
9 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,000,000
10 For a non-profit, faith-based organization located in a city with more than
11 four hundred thousand inhabitants and located in more than one
12 county which solely focuses on young African American males,
13 ages 8 to 18 through four areas: socially, academically,
14 emotionally, and spiritually in preparing program participants for
15 employment, civic service, and high school completions and
16 higher education
17 From Temporary Assistance for Needy Families Federal Fund (1199)
18 (one-time) ............................................................................................................100,000
19 For a program in a city with more than four hundred thousand inhabitants
20 and located in more than one county to teach parenting
21 curriculum and other skills to men, along with assisting them in
22 finding employment, health care, dealing with civil and criminal
23 charges and cases, and other social services thus allowing them
24 to develop healthy and supportive relationships with their kids
25 and families
26 From Temporary Assistance for Needy Families Federal Fund (1199)
27 (including $150,000 one-time)............................................................................250,000
28 For the purpose of funding a program in a city not within a county to
29 foster healthy relationships by strengthening families and
30 reducing the rates of absentee fathers through employment
31 placement, job readiness, and employer retention skills
32 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 2,000,000
33 Total ...........................................................................................................................$3,350,000
1 Section 11.171. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in a city with more than four
4 hundred thousand inhabitants and located in more than one
5 county that provides training in the trade of pet grooming to break
6 through generational poverty
7 From Temporary Assistance for Needy Families Federal Fund (1199)
8 (one-time) ..........................................................................................................$300,000
CCS SS SCS HCS HB 11 20
1 Section 11.172. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit agency located in any county with more than seventy
4 thousand but fewer than eighty thousand inhabitants dedicated to
5 providing comprehensive education and therapy services to
6 children with developmental disabilities and delays such as
7 cerebral palsy, down syndrome, autism spectrum disorders,
8 traumatic brain injury, seizure disorders, and multiple rare
9 genetic disorders
10 From General Revenue Fund (1101) (one-time) .......................................................$2,500,000
1 Section 11.175. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in any county with more than one
4 million inhabitants that provides youth and their family with
5 mentorship as well as virtual or in-person educational
6 opportunities relating to college preparedness, workforce
7 development, and character preparation to foster academic
8 success
9 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,176,069
1 Section 11.176. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization whose mission is to provide children and
4 adults with care and support located in a county with more than
5 one million inhabitants for habilitation, autism services, early
6 childhood development, and family services
7 From General Revenue Fund (1101) (one-time) ..........................................................$500,000
1 Section 11.179. To the Department of Social Services
2 For the Family Support Division
3 For an organization whose mission is to improve the quality of life in our
4 communities and enhance educational and economic
5 opportunities for all in a city not within a county to implement an
6 innovative program designed to support at-risk youth, young
7 adults and returning citizens who are either part of a diversion
8 program, transitioning back into society from incarceration, or
9 navigating out of the school system aiming to provide a holistic
CCS SS SCS HCS HB 11 21
10 suite of services that include mentorship, skill development, and
11 community reintegration support
12 From General Revenue Fund (1101) ............................................................................$660,000
1 Section 11.180. To the Department of Social Services
2 For the Family Support Division
3 For a public school located in a city with more than one thousand nine
4 hundred but fewer than two thousand one hundred fifty
5 inhabitants and located in a county with more than twenty-two
6 thousand but fewer than twenty-five thousand inhabitants and
7 with a county seat with more than five hundred but fewer than
8 nine hundred, a public school located in a city with more than
9 twelve thousand five hundred but fewer than fourteen thousand
10 inhabitants and located in a county with more than fifty thousand
11 but fewer than sixty thousand inhabitants and with a county seat
12 with more than twelve thousand six hundred but fewer than
13 fifteen thousand inhabitants, a public school located in a city with
14 more than seven thousand but fewer than eight thousand
15 inhabitants and that is the county seat of a county with more than
16 fifteen thousand seven hundred but fewer than seventeen
17 thousand six hundred inhabitants, a public school located in a city
18 with more than four thousand nine hundred but fewer than five
19 thousand six hundred inhabitants and that is the county seat of a
20 county with more than twelve thousand five hundred but fewer
21 than fourteen thousand inhabitants, and a public school located in
22 a city with more than twelve thousand five hundred but fewer
23 than fourteen thousand inhabitants and located in a county with
24 more than fifty thousand but fewer than sixty thousand
25 inhabitants and with a county seat with more than ten thousand
26 but fewer than twelve thousand six hundred inhabitants, for a
27 model that uses integrated student support in collaboration with
28 local communities to address barriers to student success
29 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,200,000
30 For an organization with a program with the goal of reaching
31 independence from poverty through support, education, career
32 development, financial planning, and mentoring located in a city
33 with more than one hundred sixty thousand but fewer than two
34 hundred thousand inhabitants
CCS SS SCS HCS HB 11 22
35 From Temporary Assistance for Needy Families Federal Fund (1199) .........................950,000
36 For a nonprofit organization located in a city with more than four
37 hundred thousand inhabitants and located in more than one
38 county that provides programs and services including math,
39 science, and computer tutoring; jobs skills training;
40 transportation; food and clothing programs; and sports programs
41 From General Revenue Fund (1101) (one-time) ............................................................500,000
42 For the purpose of funding a program in any city not within a county that
43 builds strong families and vibrant communities by providing
44 hope, comprehensive services, and meaningful opportunities that
45 exemplifies the cultural and artistic traditions of people in Africa,
46 the Caribbean and the Americas
47 From Temporary Assistance for Needy Families Federal Fund (1199)
48 (one-time) .........................................................................................................1,000,000
49 For a nonprofit, little league baseball organization in a city with more
50 than four hundred thousand inhabitants and located in more than
51 one county to educate, inspire and empower young men to
52 become community leaders
53 From Temporary Assistance for Needy Families Federal Fund (1199)
54 (one-time) ..............................................................................................................50,000
55 For a not-for-profit organization located in a city not within a county that
56 has been in operation for over 100 years and provides children
57 and family services
58 From General Revenue Fund (1101) ..............................................................................500,000
59 From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000
60 For the Temporary Assistance for Needy Families (TANF) benefits and
61 Temporary Assistance (TA) Diversion transitional benefits
62 From General Revenue Fund (1101) ...........................................................................3,856,800
63 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 16,200,000
64 Total .........................................................................................................................$26,256,800
1 Section 11.181. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county and
4 was founded in 2015, provided that said organization provides
CCS SS SCS HCS HB 11 23
5 mentoring, family counseling, and tutoring services for young
6 men ranging in ages from 8 to 18 years old, and further provided
7 that funds shall be used for transportation needs, meeting space
8 rental, part-time mentoring coordinators, and healthy food
9 choices during weekend events
10 From Temporary Assistance for Needy Families Federal Fund (1199)
11 (one-time) ..........................................................................................................$100,000
1 Section 11.182. To the Department of Social Services
2 For the Family Support Division
3 For a Family Connection Center located in any city with more than fifty-
4 one thousand but fewer than fifty-eight thousand inhabitants and
5 located in more than one county
6 From General Revenue Fund (1101) ............................................................................$375,000
7 For a Family Connection Center located in a city not within a county
8 From General Revenue Fund (1101) ..............................................................................375,000
9 For a Family Connection Center located in a county with more than one
10 million inhabitants
11 From General Revenue Fund (1101) ..............................................................................375,000
12 For a Family Connection Center located in a city with more than sixteen
13 thousand but fewer than eighteen thousand inhabitants and that is
14 the county seat of a county with more than twenty-five thousand
15 but fewer than thirty thousand inhabitants
16 From General Revenue Fund (1101) ................................................................... 375,000
17 Total ...........................................................................................................................$1,500,000
1 Section 11.184. To the Department of Social Services
2 For the Family Support Division
3 For a sports enrichment park in a city with more than four hundred
4 thousand inhabitants and located in more than one county for
5 students that provides a supervised and structured environment
6 for empowering youth to develop self-esteem, basic life skills,
7 respect for the rights of others and property, all through: sport,
8 fitness, cultural, and educational programming
9 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$400,000
1 Section 11.185. To the Department of Social Services
CCS SS SCS HCS HB 11 24
2 For the Family Support Division
3 For a healthy marriage and fatherhood initiative
4 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,250,000
5 For a not-for-profit organization which was founded in 2008 and located
6 in any city with more than one hundred twenty-five thousand but
7 fewer than one hundred sixty thousand inhabitants provided the
8 funds are used for responsible fatherhood services and healthy
9 marriage activities
10 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 500,000
11 Total ...........................................................................................................................$1,750,000
1 Section 11.190. To the Department of Social Services
2 For the Family Support Division
3 For supplemental payments to aged or disabled persons
4 From General Revenue Fund (1101) ..............................................................................$10,872
1 Section 11.195. To the Department of Social Services
2 For the Family Support Division
3 For nursing care payments to aged, blind, or disabled persons, and for
4 personal funds to recipients of Supplemental Nursing Care
5 payments as required by Section 208.030, RSMo, provided
6 thirty-five percent (35%) flexibility is allowed from Section
7 11.195 to 11.745
8 From General Revenue Fund (1101) .......................................................................$25,420,885
1 Section 11.200. To the Department of Social Services
2 For the Family Support Division
3 For Blind Pension and supplemental payments to blind persons, provided
4 that the Department of Social Services, whenever it calculates a
5 new estimated rate or rates for the Blind Pension and/or
6 supplemental payments to blind persons for the upcoming fiscal
7 year, shall transmit the new estimated rate or rates, as well as the
8 accompanying assumptions and calculations used to create the
9 new estimated rate or rates, to the following organizations:
10 Missouri Council for the Blind, National Federation of the Blind
11 of Missouri, and the State Rehabilitation Council
12 From Blind Pension Fund (1621) ............................................................................$43,780,576
CCS SS SCS HCS HB 11 25
1 Section 11.205. To the Department of Social Services
2 For the Family Support Division
3 For the administration of blind services, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.905
5 Personal Service.............................................................................................$1,093,800
6 Expense and Equipment........................................................................... 136,566
7 From General Revenue Fund (1101) ...........................................................................1,230,366
8 Personal Service...............................................................................................4,113,351
9 Expense and Equipment........................................................................... 754,915
10 From Department of Social Services Federal Fund (1610) ................................. 4,868,266
11 Total (Not to exceed 102.69 F.T.E.) ..........................................................................$6,098,632
1 Section 11.206. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization, founded in 2009 and located in a county
4 with more than one million inhabitants that prepares
5 disadvantaged males to successfully complete high school
6 through demonstrating superior leadership skills, academic
7 excellence, community service, and career readiness in order to
8 successfully transition into higher education or trade
9 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$750,000
1 Section 11.210. To the Department of Social Services
2 For the Family Support Division
3 For services for the visually impaired, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.905
5 From General Revenue Fund (1101) .........................................................................$1,511,211
6 From Department of Social Services Federal Fund (1610) .........................................6,444,946
7 From Family Services Donations Fund (1167).................................................................99,995
8 From Blindness Education, Screening and Treatment Program Fund
9 (1892) ....................................................................................................... 349,325
10 Total ...........................................................................................................................$8,405,487
1 Section 11.215. To the Department of Social Services
2 For the Family Support Division
3 For business enterprise programs for the blind
4 From Department of Social Services Federal Fund (1610) .....................................$44,603,034
1 Section 11.220. To the Department of Social Services
CCS SS SCS HCS HB 11 26
2 For the Family Support Division
3 For Child Support Enforcement field staff and operations, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 11.905
6 Personal Service.............................................................................................$3,681,668
7 Expense and Equipment........................................................................... 2,587,989
8 From General Revenue Fund (1101) ...........................................................................6,269,657
9 Personal Service.............................................................................................19,803,965
10 Expense and Equipment........................................................................... 7,770,516
11 From Department of Social Services Federal Fund (1610) .......................................27,574,481
12 Personal Service...............................................................................................2,457,642
13 Expense and Equipment........................................................................... 396,390
14 From Child Support Enforcement Fund (1169)................................................... 2,854,032
15 Total (Not to exceed 584.04 F.T.E.) ........................................................................$36,698,170
1 Section 11.225. To the Department of Social Services
2 For the Family Support Division
3 For the Child Support Enforcement Call Center
4 For state operated call center administrative and operational expenses
5 Personal Service................................................................................................$887,742
6 Expense and Equipment........................................................................... 614,885
7 From General Revenue Fund (1101) ...........................................................................1,502,627
8 Personal Service...............................................................................................1,694,015
9 Expense and Equipment........................................................................... 1,297,503
10 From Department of Social Services Federal Fund (1610) .........................................2,991,518
11 Personal Service..................................................................................................129,519
12 Expense and Equipment........................................................................... 95,844
13 From Child Support Enforcement Fund (1169)................................................... 225,363
14 Total (Not to exceed 67.20 F.T.E.) ............................................................................$4,719,508
1 Section 11.229. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization, founded in 1975 with a local chapter in
4 a city not within a county that is committed to expanding youth
5 understanding of engineering careers
6 From Temporary Assistance for Needy Families Federal Fund (1199)
CCS SS SCS HCS HB 11 27
7 (one-time) ..........................................................................................................$250,000
1 Section 11.230. To the Department of Social Services
2 For the Family Support Division
3 For reimbursements to counties and the City of St. Louis and contractual
4 agreements with local governments providing child support
5 services, provided three percent (3%) flexibility is allowed from
6 this section to Section 11.905
7 From General Revenue Fund (1101) .........................................................................$2,240,491
8 From Department of Social Services Federal Fund (1610) .......................................14,886,582
9 From Child Support Enforcement Fund (1169)................................................... 400,212
10 Total .........................................................................................................................$17,527,285
1 Section 11.231. To the Department of Social Services
2 For the Family Support Division
3 For a business-led private, non-profit organization that is located in a
4 county with more than seven hundred thousand but fewer than
5 eight hundred thousand inhabitants that serves individuals within
6 the county and neighboring counties by providing individuals
7 with priority access to local employers, debt-free training to
8 qualified customers, supportive services, and ongoing assistance
9 From Temporary Assistance for Needy Families Federal Fund (1199)
10 (one-time) ..........................................................................................................$500,000
1 Section 11.233. To the Department of Social Services
2 For the Family Support Division
3 For an alternative education program, located in any county with more
4 than one million inhabitants, for youth/young adults who have a
5 high school diploma or GED or are in need of obtaining either a
6 high school diploma or passing the high school equivalency
7 exam, or targeting out-of-school youth and other at-risk
8 populations ages 17-24, that focuses on leadership, development,
9 financial literacy, and academic enhancement, technical skills
10 training in construction, community service, and support from
11 staff and students committed to each other’s success
12 From General Revenue Fund (1101) (one-time) ..........................................................$750,000
1 Section 11.235. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 28
3 For reimbursements to the federal government for federal Temporary
4 Assistance for Needy Families payments, refunds of bonds,
5 refunds of support payments or overpayments, and distributions
6 to families
7 From Department of Social Services Federal Fund (1610) .....................................$36,500,000
8 From Debt Offset Escrow Fund (1753) ............................................................... 6,000,000
9 Total .........................................................................................................................$42,500,000
1 Section 11.240. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Department of Social Services Federal Fund
4 From Debt Offset Escrow Fund (1753) ........................................................................$955,000
5 Funds are to be transferred out of the State Treasury to the Child
6 Support Enforcement Fund
7 From Debt Offset Escrow Fund (1753) ............................................................... 245,000
8 Total ...........................................................................................................................$1,200,000
1 Section 11.245. To the Department of Social Services
2 For the Family Support Division
3 For the Office of Workforce and Community Initiatives
4 For administrative expenses
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$120,626
7 From Department of Social Services Federal Fund (1610) .........................................1,983,719
8 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,068,061
9 Total (Not to exceed 48.00 F.T.E.) ............................................................................$3,172,406
1 Section 11.246. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city with more than one
4 hundred five thousand but fewer than one hundred twenty-five
5 thousand inhabitants to partner with neighbors and collaborate on
6 strategies that foster community stability and individual
7 wellbeing
8 From General Revenue Fund (1101) .........................................................................$1,000,000
1 Section 11.250. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 29
3 For grants and contracts to Community Partnerships and other
4 community initiatives and related expenses, provided three
5 percent (3%) flexibility is allowed from this section to Section
6 11.905
7 From General Revenue Fund (1101) .........................................................................$5,632,328
8 From Department of Social Services Federal Fund (1610) ..............................................78,307
9 From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,525,492
10 For the Missouri Mentoring Partnership
11 From Department of Social Services Federal Fund (1610) ............................................935,000
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................508,700
13 For a program for adolescents with the goal of preventing teen
14 pregnancies
15 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 600,000
16 Total .........................................................................................................................$15,279,827
1 Section 11.251. To the Department of Social Services
2 For the Family Support Division
3 For the employee and program expenses for a nonprofit organization
4 located in a city not within a county to organize, advocate and
5 develop leadership capacity for the families of incarcerated and
6 formerly incarcerated individuals
7 From General Revenue Fund (1101) (one-time) ..........................................................$500,000
1 Section 11.252. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation formed in 2010, and located in a
4 city with more than one hundred sixty thousand but fewer than
5 two hundred thousand inhabitants to assist at-risk or foster care
6 youth ranging in ages from 16 to 24 years old through its positive
7 youth development programs and by helping them identify and
8 apply their unique strengths in order to experience a successful,
9 self-sufficient transition into adulthood
10 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$800,000
1 Section 11.253. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 30
3 For a 501 (c)(3) organization incorporated in 1971 located in a city with
4 more than four hundred thousand inhabitants and located in more
5 than one county that offers residential support to men over 21
6 years old as they work to rebuild their lives from alcohol and drug
7 use
8 From General Revenue Fund (1101) .........................................................................$1,000,000
1 Section 11.254. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit community organization in a city not within a county,
4 initiative focused on the adaptive reuse of a 100-year-old vacant
5 building in an underserved census tract, and the project will serve
6 as a diverse job creator, housing youth programs, startups, co-
7 working spaces, retail, and manufacturing under one roof and will
8 comply with CPACE (Clean Energy)
9 From General Revenue Fund (1101) ............................................................................$250,000
1 Section 11.255. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri Work Assistance Program Unit
4 For Work Assistance Programs
5 From General Revenue Fund (1101) .........................................................................$1,855,554
6 From Temporary Assistance for Needy Families Federal Fund (1199) ....................12,017,755
7 For the Missouri SkillUp Program
8 From Department of Social Services Federal Fund (1610) .........................................4,672,471
9 From Temporary Assistance for Needy Families Federal Fund (1199) ......................5,469,104
10 For the attendance of Supplemental Nutrition Assistance Program
11 recipients at adult high schools as designated by the Department
12 of Elementary and Secondary Education
13 From Department of Social Services Federal Fund (1610) .........................................5,100,000
14 For the attendance of low-income individuals at adult high schools as
15 designated by the Department of Elementary and Secondary
16 Education
17 From General Revenue Fund (1101) ...........................................................................2,000,000
18 From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,000,000
CCS SS SCS HCS HB 11 31
19 For the purpose of providing matching funds for a new adult high school
20 awarded by the state serving a city with more than four hundred
21 thousand inhabitants and located in more than one county
22 From Budget Stabilization Fund (1522) ......................................................................1,000,000
23 For child care at adult high school locations
24 From General Revenue Fund (1101) ...........................................................................2,010,000
25 For the Summer Jobs Program
26 From Temporary Assistance for Needy Families Federal Fund (1199) .........................850,000
27 For Jobs for America’s Graduates
28 From Temporary Assistance for Needy Families Federal Fund (1199) ......................4,500,000
29 For the Foster Care Jobs Program
30 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000
31 For the purpose of funding a program located in a city not within a county
32 that assists individuals with limited opportunities to self-
33 sufficiency by breaking down barriers to self-sufficiency,
34 assisting survivors of domestic violence while fostering healthy
35 co-parenting relationships, reducing the rates of absentee fathers,
36 child development and strengthening families, all while creating
37 a safer and more inclusive community
38 From Temporary Assistance for Needy Families Federal Fund (1199)
39 (including $1,000,000 one-time)......................................................................2,000,000
40 For a program located in a city not within a county that fosters inclusion
41 of minority and women-owned businesses on construction
42 projects
43 From Temporary Assistance for Needy Families Federal Fund (1199) .........................500,000
44 For an organization located in a city not within a county, whose mission
45 is to empower individuals for social and economic growth
46 through relationship and opportunity by facilitating supplemental
47 education programs, job development and training, and
48 community service programs for under-resourced individuals
49 From General Revenue Fund (1101) (one-time) .........................................................2,000,000
CCS SS SCS HCS HB 11 32
50 For an organization located in a city with more than four hundred
51 thousand inhabitants and located in more than one county that
52 works to improve the quality of life for individuals in the Latino
53 communities of Greater Kansas City through education, financial
54 counseling and lending, and cultural events
55 From Temporary Assistance for Needy Families Federal Fund (1199)
56 (one-time) .........................................................................................................5,000,000
57 For a comprehensive counseling and solution generation service that
58 focuses on a multi-year journey for high school students from
59 initial training to full-time employment with pre-identified entry
60 level jobs that drive the program’s training while earning a degree
61 relating to information technology, provided that the service is
62 designed to assist with environmental hurdles and with students
63 receiving accredited course credit from institutions for higher
64 education in the state of Missouri, and further provided that the
65 service includes a multi-year, wrap around support infrastructure
66 for each student that extends from the student’s acceptance into
67 the program through full time employment and continues until
68 the student completes a degree, if so requested by the program
69 participant, also known as HyperCare
70 From General Revenue Fund (1101) ...........................................................................1,750,000
71 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,750,000
72 For a nonprofit organization located in any county with more than four
73 hundred thousand but fewer than five hundred thousand
74 inhabitants whose mission is to provide school districts' students
75 personnel with suicide prevention skills and awareness, training
76 on social media harassment and bullying interventions, and
77 mental health therapy resources
78 From Temporary Assistance for Needy Families Federal Fund (1199)
79 (one-time) ................................................................................................. 350,000
80 Total .........................................................................................................................$60,824,884
1 Section 11.256. To the Department of Social Services
2 For the Family Support Division
3 For an organization founded in 1922 that provides and deploys
4 accountable funding and support for nonprofits statewide focused
CCS SS SCS HCS HB 11 33
5 on basic needs, financial stability, childhood development and
6 youth services, health and wellbeing, and education
7 From Temporary Assistance for Needy Families Federal Fund (1199)
8 (one-time) .......................................................................................................$5,000,000
1 Section 11.257. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit program located in a city with more than four hundred
4 thousand inhabitants and located in more than one county that
5 assists high school graduates, young adults, and career-seeking
6 individuals in obtaining post-secondary education and job
7 training and teaching the imperative career-skill and work ethic
8 necessary to become successful employees
9 From Temporary Assistance for Needy Families Federal Fund (1199)
10 (one-time) ..........................................................................................................$500,000
1 Section 11.258. To the Department of Social Services
2 For the Family Support Division
3 For capital improvements at a nonprofit community center that promotes
4 youth development, healthy and active living, and community
5 responsibility located in a city with more than sixteen thousand
6 but fewer than eighteen thousand inhabitants and that is the
7 county seat of a county with more than twenty-five thousand but
8 fewer than thirty thousand inhabitants
9 From General Revenue Fund (1101) (one-time) .......................................................$1,300,000
1 Section 11.259. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in a city with more than one hundred
4 sixty thousand but fewer than two hundred thousand inhabitants
5 that provides financial and emotional support to families whose
6 children are battling pediatric emergencies
7 From General Revenue Fund (1101) (one-time) ..........................................................$250,000
1 Section 11.260. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in county with more than one
4 million inhabitants and founded in 2018 who focuses on
5 underserved children and families provided the funds be used for
CCS SS SCS HCS HB 11 34
6 youth jobs programs, mentoring sessions, transportation costs
7 and healthy meals for summer youth events
8 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$500,000
1 Section 11.261. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation with more than 50 employees,
4 formed in 1998, and located in a city with more than one hundred
5 and sixty thousand but fewer than two hundred thousand
6 inhabitants for a school-based social work program that provides
7 enhanced support for children and family members suffering
8 trauma as a result of addiction in the family
9 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000
1 Section 11.265. To the Department of Social Services
2 For the Family Support Division
3 For support to Food Banks’ effort to provide services and food to low-
4 income individuals
5 From Temporary Assistance for Needy Families Federal Fund (1199) ..................$10,000,000
6 For an evidence-based program through a school-based early warning
7 and response system that improves student attendance, behavior,
8 and course performance in reading and math by identifying the
9 root causes for student absenteeism, classroom disruption, and
10 course failure
11 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,500,000
12 For after school support programs
13 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000
14 For out of school support programs
15 From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000
16 For services that provide assistance and engagement to address critical
17 areas of need for low-income individuals, families, and children
18 located in a city not within a county
19 From Temporary Assistance for Needy Families Federal Fund (1199) .........................250,000
CCS SS SCS HCS HB 11 35
20 For a program located in a city not within a county that helps youth,
21 families, and older adults attain self-sustaining lives by providing
22 innovative social, educational, and recreational resources
23 From Temporary Assistance for Needy Families Federal Fund (1199) .........................200,000
24 For a program located in a city not within a county that offers community
25 housing and community integration to adults with developmental
26 disabilities in nurturing, positive, and stable home-like
27 environments
28 From Temporary Assistance for Needy Families Federal Fund (1199) .........................230,000
29 For a century-old viable non-profit entity located in a city not within a
30 county that annually serves over one hundred thousand clients
31 regionally in efforts to deescalate violence and offer conflict
32 mediation and connects neighborhood residents with the
33 necessary viable resources and services, in an effort to reduce
34 crime, violence, and to improve the quality of life
35 From Budget Stabilization Fund (1522) (one-time) ....................................................1,500,000
36 For a nonprofit organization serving youth for over twenty years that
37 enables young people to reach their full potential as productive,
38 caring, responsible citizens by providing a club experience,
39 including after school and summer programs that assures success
40 located in any city with more than sixteen thousand but fewer
41 than eighteen thousand inhabitants and that is the county seat of
42 a county with more than forty thousand but fewer than fifty
43 thousand inhabitants
44 From General Revenue Fund (1101) (one-time) .........................................................1,000,000
45 For a nonprofit organization founded in 2016 located in a city with more
46 than four hundred thousand inhabitants and located in more than
47 one county, that is providing access to fresh, affordable and
48 healthy foods to over 250,000 local residents experiencing food
49 insecurity
50 From Temporary Assistance for Needy Families Federal Fund (1199) .........................500,000
51 For a nonprofit organization located in a city not within a county that
52 helps junior and senior high teens to find security and direction
53 and increase graduation rates through relationship building with
CCS SS SCS HCS HB 11 36
54 a mentor through involvement beyond school hours or basic after
55 school programs
56 From Temporary Assistance for Needy Families Federal Fund (1199) .........................100,000
57 For a nonprofit organization that enables young people to reach their full
58 potential as productive, caring, responsible citizens by providing
59 a club experience that assures success that serves nearly eight
60 thousand local kids located in any city with more than four
61 hundred thousand inhabitants and located in more than one
62 county
63 From General Revenue Fund (1101) ................................................................... 200,000
64 Total .........................................................................................................................$18,480,000
1 Section 11.266. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county to
4 improve the quality of life of people affected by HIV, illness, and
5 poverty, and to advance their stability and well-being through
6 housing, health, and empowerment services
7 From General Revenue Fund (1101) (one-time) ..........................................................$250,000
8 From Temporary Assistance for Needy Families Federal Fund (1199)
9 (one-time) ................................................................................................. 250,000
10 Total ..............................................................................................................................$500,000
1 Section 11.267. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation with more than 30 employees,
4 formed in 1969, and located in a city with more than one hundred
5 sixty thousand but fewer than two hundred thousand inhabitants
6 for training, resources, and support to equip volunteers to tutor
7 and support student learning in public elementary schools
8 From Temporary Assistance for Needy Families Federal Fund (1199)
9 (one-time) ..........................................................................................................$150,000
1 Section 11.269. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in any city with more than sixteen
4 thousand but fewer than eighteen thousand inhabitants and that is
5 the county seat of a county with more than forty thousand but
6 fewer than fifty thousand inhabitants that provides shelter and
CCS SS SCS HCS HB 11 37
7 advocacy services for sexual assault or domestic violence victims
8 and their children
9 From General Revenue Fund (1101) (one-time) ..........................................................$100,000
1 Section 11.270. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit located in a county with more than one million
4 inhabitants which focuses on at risk and under-represented youth
5 and young adults provided the funding is used for personal and
6 professional skills development, peer-mentoring services, and
7 training young adults to become mentor leaders
8 From General Revenue Fund (1101) ..............................................................................$70,000
1 Section 11.275. To the Department of Social Services
2 For the Family Support Division
3 For out of school enrichment initiatives
4 Program Distribution
5 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$7,265,000
1 Section 11.280. To the Department of Social Services
2 For the Family Support Division
3 For a healthy marriage and fatherhood initiative delivered by a Missouri
4 nonprofit corporation at multiple locations throughout the state
5 of Missouri with a primary office located in a city with more than
6 one hundred sixty thousand but fewer than two hundred thousand
7 inhabitants
8 From Temporary Assistance for Needy Families Federal Fund (1199)
9 (including $500,000 one-time).......................................................................$2,000,000
1 Section 11.285. To the Department of Social Services
2 For the Family Support Division
3 For alternatives to abortion services, including the provision of diapers
4 and other infant hygiene products to women who qualify for
5 alternative to abortion services, provided that if the Department
6 grants or allocates funds to certain not-for-profit organizations or
7 regions of the state that are unused or anticipated to be unused,
8 then the Department shall redistribute such funds to other not-for-
9 profit organizations or regions of the state to ensure that all the
10 funds appropriated are available to serve women who qualify for
11 alternatives to abortion services, and further provided that the
CCS SS SCS HCS HB 11 38
12 Department shall not limit the amount that can be expended per
13 client
14 From General Revenue Fund (1101) .........................................................................$2,033,561
15 From Department of Social Services Federal Fund (1610) ..............................................50,000
16 From Temporary Assistance for Needy Families Federal Fund (1199) ....................10,300,000
17 For the alternatives to abortion public awareness program, including
18 assistance to contractors and subcontractors with the Department
19 for alternatives to abortion services, to help alternatives to
20 abortion agencies reach pregnant women at risk for having
21 abortions when such agencies are blocked or in any other way
22 suppressed by any search engine, social media platform, or digital
23 advertising network
24 From General Revenue Fund (1101) ................................................................... 550,000
25 Total .........................................................................................................................$12,933,561
1 Section 11.286. To the Department of Social Services
2 For the Family Support Division
3 For grants to: organizations that promote and facilitate adoptions,
4 maternity homes, diaper banks, and organizations providing
5 material support and other assistance to individuals facing an
6 unintended pregnancy to help those individuals give birth to their
7 unborn children
8 From General Revenue Fund (1101) .........................................................................$2,000,000
1 Section 11.287. To the Department of Social Services
2 For the Family Support Division
3 For a grant to an organization located in a city with more than thirty-six
4 thousand five hundred but fewer than forty thousand inhabitants
5 that promotes and facilitates adoptions, maternity homes,
6 material support and other assistance to individuals facing an
7 unintended pregnancy to help those individuals give birth to their
8 unborn children
9 From General Revenue Fund (1101) ............................................................................$250,000
10 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 250,000
11 Total ..............................................................................................................................$500,000
1 Section 11.288. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 39
3 For a not-for-profit organization, located in any city not within a county,
4 for a male mentoring program founded in 1984
5 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$126,000
1 Section 11.290. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit located in county with more than one million
4 inhabitants and founded in 2015 for substance abuse treatment,
5 family support services, access to healthy foods and adequate
6 shelter
7 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$500,000
8 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 500,000
9 Total ...........................................................................................................................$1,000,000
1 Section 11.291. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county
4 whose mission is to ensure equitable access to nutritious food and
5 essential resources for all community members, regardless of
6 socioeconomic status
7 From Temporary Assistance for Needy Families Federal Fund (1199)
8 (one-time) ..........................................................................................................$250,000
1 Section 11.292. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization founded in 2017 to open a cooperatively
4 owned grocery store that will provide locally grown, fresh
5 produce from state farmers, and other locally sourced products
6 and meats located in any county with more than one million
7 inhabitants
8 From General Revenue Fund (1101) ............................................................................$500,000
1 Section 11.295. To the Department of Social Services
2 For the Family Support Division
3 For community services programs provided by Community Action
4 Agencies or other not-for-profit organizations under the
5 provisions of the Community Services Block Grant
6 From Department of Social Services Federal Fund (1610) .....................................$23,637,056
CCS SS SCS HCS HB 11 40
1 Section 11.297. To the Department of Social Services
2 For the Family Support Division
3 For funding a multi-modal, on-demand, micro-transit provision and/or
4 coordination in rural and suburban markets to enhance access to
5 health services (including, without limitation, mental, physical,
6 dental health services and pharmaceutical services); workforce
7 development training, to include educational opportunities,
8 apprenticeship programs, internships and other related workforce
9 programs and for mobility coordination, primarily for individuals
10 in areas of the state under-served by existing public transit
11 services and routes
12 From General Revenue Fund (1101) .........................................................................$3,000,000
1 Section 11.300. To the Department of Social Services
2 For the Family Support Division
3 For an organization in county with more than twenty-two thousand but
4 fewer than twenty-five thousand inhabitants and with a county
5 seat with more than one thousand four hundred but fewer than
6 one thousand nine hundred inhabitants that supports programs
7 and non-profits promoting health, wellness, and families
8 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$100,000
1 Section 11.301. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation with its principal place of business
4 located in a city with more than one hundred sixty thousand but
5 fewer than two hundred thousand inhabitants that currently
6 provides intensive family services to low-income families with
7 children in multiple counties in southwest Missouri through a
8 federal Regional Partnership Grant to increase its capacity to
9 provide intensive family services for low-income families with
10 children in southwest Missouri
11 From Temporary Assistance for Needy Families Federal Fund (1199)
12 (one-time) ..........................................................................................................$600,000
1 Section 11.305. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 11 41
3 For the Food Distribution Program, the receipt and disbursement of
4 Donated Food Program payments and for the Local Food
5 Purchase Assistance Cooperative Program
6 From Department of Social Services Federal Fund (1610) .......................................$6,777,682
7 From Department of Social Services Federal Stimulus – 2021 Fund
8 (2456) ....................................................................................................... 3,748,530
9 Total .........................................................................................................................$10,526,212
1 Section 11.310. To the Department of Social Services
2 For the Family Support Division
3 For the Low-Income Home Energy Assistance Program, provided the
4 eligible household income does not exceed one hundred and fifty
5 percent (150%) of the federal poverty level or sixty percent
6 (60%) of the state median income (SMI)
7 From Department of Social Services Federal Fund (1610) ...................................$101,620,002
1 Section 11.315. To the Department of Social Services
2 For the Family Support Division
3 For a city with more than ten thousand but fewer than eleven thousand
4 inhabitants and located in a county with more than one million
5 inhabitants for a workforce development program for
6 underserved youth provided the funds are used for tools, supplies,
7 career training and support services
8 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$275,000
1 Section 11.320. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in a city not within a county that
4 builds homes and communities that is dedicated to eliminating
5 substandard housing in a city not within a county and empowers
6 local families to build and purchase their own home
7 From General Revenue Fund (1101) ............................................................................$250,000
1 Section 11.325. To the Department of Social Services
2 For the Family Support Division
3 For grants to not-for-profit organizations for services and programs to
4 assist victims of domestic violence, provided three percent (3%)
5 flexibility is allowed from this section to Section 11.905
6 From General Revenue Fund (1101) .........................................................................$5,000,000
CCS SS SCS HCS HB 11 42
7 From Department of Social Services Federal Fund (1610) .........................................3,000,000
8 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,600,000
9 From Department of Social Services Federal Stimulus – 2021
10 Fund (2456)......................................................................................................3,204,219
11 For emergency shelter services to assist victims of domestic violence
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................562,137
13 For a nonprofit organization located in a city with more than four
14 hundred thousand inhabitants and located in more than one
15 county to support domestic violence survivors, provides essential
16 resources to end period poverty, empowers college bound and
17 non-traditional students and inspires cancer patients
18 From Temporary Assistance for Needy Families Federal Fund (1199)
19 (one-time) ................................................................................................. 50,000
20 Total .........................................................................................................................$13,416,356
1 Section 11.326. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county to
4 provide civil legal aid and create opportunities to build resiliency
5 and advocate for justice
6 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$200,000
1 Section 11.327. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a county with more than one
4 million inhabitants that provides a 39 bed domestic violence
5 program for abused women and their children, provided funds are
6 used to expand the organization’s capacity
7 From Temporary Assistance for Needy Families Federal Fund (1199)
8 (one-time) ..........................................................................................................$250,000
1 Section 11.330. To the Department of Social Services
2 For the Family Support Division
3 For the Victims of Crime Act (VOCA) Unit
4 For the administrative expenses of the Victims of Crime Act program
5 Personal Service
6 From General Revenue Fund (1101) ..............................................................................$27,827
CCS SS SCS HCS HB 11 43
7 Personal Service..................................................................................................286,501
8 Expense and Equipment........................................................................... 100,049
9 From Victims of Crime Act Federal Fund (1146) ..........................................................386,550
10 For training and technical assistance expenses for the Victims of Crime
11 Act program
12 Expense and Equipment
13 From Victims of Crime Act Federal Fund (1146) ............................................... 500,000
14 Total (Not to exceed 5.00 F.T.E.) .................................................................................$914,377
1 Section 11.335. To the Department of Social Services
2 For the Family Support Division
3 For the Office of Workforce & Community Initiatives
4 For the Victims of Crime Act (VOCA) Unit
5 For grants to not-for-profit organizations for services and programs to
6 assist victims of crime
7 From General Revenue Fund (1101) (one-time) .....................................................$25,000,000
8 From Victims of Crime Act Federal Fund (1146) ............................................... 49,331,537
9 Total .........................................................................................................................$74,331,537
1 Section 11.340. To the Department of Social Services
2 For the Family Support Division
3 For grants to not-for-profit organizations for services and programs to
4 assist victims of sexual assault, provided three percent (3%)
5 flexibility is allowed from this section to Section 11.905
6 From General Revenue Fund (1101) (including $1,250,000 one-time) ....................$3,000,000
7 From Department of Social Services Federal Stimulus – 2021 Fund
8 (2456) ....................................................................................................... 1,231,936
9 Total ...........................................................................................................................$4,231,936
1 Section 11.350. To the Department of Social Services
2 For the Children’s Division administrative expenses, provided three
3 percent (3%) flexibility is allowed from this section to Section
4 11.905
5 Personal Service.............................................................................................$1,999,971
6 Expense and Equipment........................................................................... 1,738,275
7 From General Revenue Fund (1101) ...........................................................................3,738,246
8 Personal Service...............................................................................................1,915,795
CCS SS SCS HCS HB 11 44
9 Expense and Equipment........................................................................... 1,031,094
10 From Department of Social Services Federal Fund (1610) .........................................2,946,889
11 Personal Service
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................944,470
13 Expense and Equipment
14 From Department of Social Services Federal Stimulus – 2021
15 Fund (2456)...........................................................................................................23,032
16 Expense and Equipment
17 From Third Party Liability Collections Fund (1120)........................................... 55,944
18 Total (Not to exceed 75.43 F.T.E.) ............................................................................$7,708,581
1 Section 11.355. To the Department of Social Services
2 For the Children’s Division
3 For the Child Abuse and Neglect Hotline Unit
4 For administrative expenses, provided five percent (5%) flexibility is
5 allowed between personal service and expense and equipment
6 Personal Service.............................................................................................$5,467,887
7 Expense and Equipment (including $120,233 one-time)......................... 283,899
8 From General Revenue Fund (1101) (Not to exceed 89.00 F.T.E.) ..........................$5,751,786
1 Section 11.360. To the Department of Social Services
2 For the Children’s Division, provided five percent (5%) flexibility is
3 allowed between personal service and expense and equipment,
4 and further provided five percent (5%) flexibility is allowed from
5 Section 11.360 to 11.355, and further provided that fifty percent
6 (50%) flexibility is allowed between Sections 11.360, 11.370,
7 and 11.375, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 11.905
9 For the Children’s Division field staff and operations administrative
10 expenses
11 Personal Service...........................................................................................$45,168,617
12 Expense and Equipment........................................................................... 2,098,188
13 From General Revenue Fund (1101) .........................................................................47,266,805
14 Personal Service.............................................................................................42,952,511
15 Expense and Equipment........................................................................... 3,192,497
16 From Department of Social Services Federal Fund (1610) .......................................46,145,008
CCS SS SCS HCS HB 11 45
17 Personal Service.............................................................................................14,812,919
18 Expense and Equipment........................................................................... 1,818,397
19 From Temporary Assistance for Needy Families Federal Fund (1199) ....................16,631,316
20 Personal Service....................................................................................................97,411
21 Expense and Equipment........................................................................... 35,558
22 From Health Initiatives Fund (1275) ..............................................................................132,969
23 For recruitment and retention services
24 From General Revenue Fund (1101) ...........................................................................1,226,992
25 From Department of Social Services Federal Fund (1610) .........................................1,101,008
26 For the expansion of a foster care portal software that can be accessed by
27 children’s division caseworkers, licensed foster families, foster
28 care licensure applicants, parents or guardians of children in
29 foster care, and other key parties to ensure streamlined
30 communication and information sharing
31 From General Revenue Fund (1101) ..............................................................................750,000
32 For expanding the reach of the Foster Care Wellness Pilot Module
33 statewide
34 From General Revenue Fund (1101) ...........................................................................1,925,000
35 From Department of Social Services Federal Fund (1610) ................................. 1,925,000
36 Total (Not to exceed 1,781.86 F.T.E.) ...................................................................$117,104,098
1 Section 11.363. To the Department of Social Services
2 For the Children's Division
3 For Psychotropic Medication Reviews
4 For administration to monitor and track prescribed and administered
5 psychotropic medications to children in the custody of the
6 Children's Division, assist in the collection of medical records,
7 ensure informed consent of family members, provide secondary
8 reviews to prevent excessive dosages, and administer pre-service
9 and annual training to foster care case management staff and
10 resource providers
11 Personal Service................................................................................................$250,134
12 Expense and Equipment (including $38,609 one-time)........................... 84,377
13 From General Revenue Fund (1101) ..............................................................................334,511
14 Personal Service....................................................................................................72,014
CCS SS SCS HCS HB 11 46
15 Expense and Equipment (including $11,116 one-time)........................... 24,293
16 From Department of Social Services Federal Fund (1610) ..............................................96,307
17 Personal Service....................................................................................................36,007
18 Expense and Equipment (including $5,558 one-time)............................. 12,146
19 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 48,153
20 Total (Not to exceed 6.00 F.T.E.) .................................................................................$478,971
1 Section 11.364. To the Department of Social Services
2 For the Children's Division
3 For tuition assistance
4 Expense and Equipment
5 From General Revenue Fund (1101) ..............................................................................$77,000
6 Expense and Equipment
7 From Department of Social Services Federal Fund (1610) ................................. 231,000
8 Total ..............................................................................................................................$308,000
1 Section 11.365. To the Department of Social Services
2 For the Children’s Division
3 For diligent search for relative placements
4 Personal Service................................................................................................$749,220
5 Expense and Equipment........................................................................... 188,633
6 From General Revenue Fund (1101) ..............................................................................937,853
7 Personal Service..................................................................................................301,607
8 Expense and Equipment........................................................................... 74,559
9 From Department of Social Services Federal Fund (1610) ................................. 376,166
10 Total (Not to exceed 24.00 F.T.E.) ............................................................................$1,314,019
1 Section 11.370. To the Department of Social Services
2 For the Children’s Division
3 For administrative expenses of the Family Centered Services (FCS)
4 program, provided five percent (5%) flexibility is allowed
5 between personal service and expense and equipment, and further
6 provided fifty percent (50%) flexibility is allowed between
7 Sections 11.360, 11.370, and 11.375
8 Personal Service.............................................................................................$2,697,320
9 Expense and Equipment........................................................................... 213,573
10 From General Revenue Fund (1101) ...........................................................................2,910,893
CCS SS SCS HCS HB 11 47
11 Personal Service..................................................................................................805,879
12 Expense and Equipment........................................................................... 65,681
13 From Department of Social Services Federal Fund (1610) ................................. 871,560
14 Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,782,453
1 Section 11.375. To the Department of Social Services
2 For the Children’s Division
3 For Team Decision Making (TDM) administrative expenses, provided
4 five percent (5%) flexibility is allowed between personal service
5 and expense and equipment, and further provided fifty percent
6 (50%) flexibility is allowed between Sections 11.360, 11.370,
7 and 11.375
8 Personal Service.............................................................................................$2,730,173
9 Expense and Equipment........................................................................... 213,676
10 From General Revenue Fund (1101) ...........................................................................2,943,849
11 Personal Service..................................................................................................842,595
12 Expense and Equipment........................................................................... 65,695
13 From Department of Social Services Federal Fund (1610) ................................. 908,290
14 Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,852,139
1 Section 11.380. To the Department of Social Services
2 For the Children’s Division
3 For the development and integration of a new comprehensive child
4 welfare information system
5 From Department of Social Services Federal Fund (1610) .......................................$2,000,000
6 From Budget Stabilization Fund (1522) .............................................................. 5,337,573
7 Total ...........................................................................................................................$7,337,573
1 Section 11.383. To the Department of Social Services
2 For the Children's Division
3 For a nonprofit organization founded in 1996 located in a city with more
4 than four hundred thousand inhabitants and located in more than
5 one county that helps to build a healthier community by leading
6 the multidisciplinary response through the prevention,
7 identification, and treatment of child abuse and violence to
8 construct a child welfare training center
9 From General Revenue Fund (1101) (one-time) .......................................................$1,500,000
1 Section 11.385. To the Department of Social Services
CCS SS SCS HCS HB 11 48
2 For the Children’s Division
3 For Children’s Division staff training, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.905
5 For administrative staff expenses
6 Personal Service..................................................................................................$55,294
7 Expense and Equipment (including $7,945 one-time)............................. 20,476
8 From General Revenue Fund (1101) ................................................................................75,770
9 Personal Service....................................................................................................55,295
10 Expense and Equipment (including $7,945 one-time)............................. 20,476
11 From Department of Social Services Federal Fund (1610) ..............................................75,771
12 Personal Service....................................................................................................12,288
13 Expense and Equipment (including $1,765 one-time)............................. 4,551
14 From Temporary Assistance for Needy Families Federal Fund (1199) ...........................16,839
15 For contracted training expenses
16 Expense and Equipment
17 From General Revenue Fund (1101) ...........................................................................1,087,513
18 From Department of Social Services Federal Fund (1610) ............................................590,243
19 For specialized investigation skills training
20 Expense and Equipment
21 From Department of Social Services Federal Stimulus – 2021
22 Fund (2456).............................................................................................. 569,763
23 Total (Not to exceed 2.00 F.T.E.) ..............................................................................$2,415,899
1 Section 11.390. To the Department of Social Services
2 For the Children’s Division
3 For a statewide specialist focused on prevention and response to sex
4 trafficking and sexual exploitation of children and for services for
5 child victims, provided five percent (5%) flexibility is allowed
6 between personal service and expense and equipment
7 Personal Service..................................................................................................$63,586
8 Expense and Equipment........................................................................... 7,053
9 From General Revenue Fund (1101) ................................................................................70,639
10 Personal Service....................................................................................................37,345
11 Expense and Equipment........................................................................... 4,141
12 From Department of Social Services Federal Fund (1610) ................................. 41,486
CCS SS SCS HCS HB 11 49
13 Total (Not to exceed 1.00 F.T.E.) .................................................................................$112,125
1 Section 11.395. To the Department of Social Services
2 For the Children’s Division
3 For prevention of human trafficking
4 Expense and Equipment
5 From Department of Social Services Federal Stimulus – 2021
6 Fund (2456).......................................................................................................$274,937
7 For grants to nonprofit organizations for statewide prevention and
8 education efforts concerning human trafficking through a
9 program that reaches public and charter schools
10 Expense and Equipment
11 From General Revenue Fund (1101) ................................................................... 150,000
12 Total ..............................................................................................................................$424,937
1 Section 11.400. To the Department of Social Services
2 For the Children’s Division
3 For prevention services and programs for children and families to assist
4 children to remain safely in their homes and prevent the need for
5 foster care placement
6 Brief Strategic Family Therapy (BSFT)
7 From General Revenue Fund (1101) ............................................................................$518,893
8 From Department of Social Services Federal Fund (1610) ............................................518,894
9 Parent-Child Interaction Therapy (PCIT)
10 From General Revenue Fund (1101) ..............................................................................497,815
11 From Department of Social Services Federal Fund (1610) ............................................497,815
12 For the Birth Match Program as set forth in Section, 210.156 RSMo.
13 Personal Service
14 From Temporary Assistance for Needy Families Federal Fund (1199) .........................110,755
15 Program Distribution
16 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 558,065
17 Total (Not to exceed 2.00 F.T.E.) ..............................................................................$2,702,237
CCS SS SCS HCS HB 11 50
1 Section 11.405. To the Department of Social Services
2 For the Children’s Division provided five percent (5%) flexibility is
3 allowed between Sections 11.090, 11.405, 11.420, 11.425,
4 11.440, 11.465, 11.475, and 11.480, and further provided three
5 percent (3%) flexibility is allowed from this section to Section
6 11.905
7 For children’s treatment services including, but not limited to, home-
8 based services, day treatment services, preventive services,
9 family reunification services, or intensive in-home services
10 From General Revenue Fund (1101) .......................................................................$15,268,036
11 From Department of Social Services Federal Fund (1610) .........................................9,796,892
12 From Title XIX - Federal Fund (1163) .............................................................................50,000
13 From Temporary Assistance for Needy Families Federal Fund (1199) .........................425,286
14 For crisis care
15 From General Revenue Fund (1101) ................................................................... 2,316,000
16 Total .........................................................................................................................$27,856,214
1 Section 11.406. To the Department of Social Services
2 For the Children's Division
3 For the establishment and funding of a trauma intervention specialist to
4 enhance the child welfare response by integrating therapeutic
5 assessment, triage, and intervention throughout the duration of a
6 child’s case for a nonprofit organization located in a county with
7 more than fifty thousand but fewer than sixty thousand
8 inhabitants and with a county seat with more than twelve
9 thousand six hundred but fewer than fifteen thousand inhabitants
10 whose purpose is to oversee the establishment, operation, and
11 maintenance of mental health services for children and youth
12 ages 0 to 19 and their families within the county
13 From General Revenue Fund (1101) (one-time) ..........................................................$100,000
1 Section 11.408. To the Department of Social Services
2 For the Children's Division
3 For a not-for-profit community organization located in county with more
4 than thirty-five thousand but fewer than forty thousand
5 inhabitants and with a county seat with more than fourteen
6 thousand but fewer than twenty thousand inhabitants to provide
7 assistance to at-risk families, children in-care and families, post
CCS SS SCS HCS HB 11 51
8 permanency families, reunification families, and social workers
9 and families whose mission is to give hope to those who have
10 slipped through the cracks of traditional community assistance
11 programs and provides essential resources
12 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$250,000
1 Section 11.410. To the Department of Social Services
2 For the Children’s Division
3 For court ordered drug testing
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$1,081,076
6 From Department of Social Services Federal Fund (1610) ................................. 318,924
7 Total ...........................................................................................................................$1,400,000
1 Section 11.415. To the Department of Social Services
2 For the Children’s Division
3 For costs associated with the implementation of the Family First
4 Prevention Services Act (FFPSA)
5 For grants to providers to develop and provide community settings
6 From Department of Social Services Federal Fund (1610) (one-time) .....................$4,000,000
7 For the development and start-up of new prevention programs that meet
8 FFPSA criteria
9 From Department of Social Services Federal Fund (1610) (one-time) ............... 1,000,000
10 Total ...........................................................................................................................$5,000,000
1 Section 11.420. To the Department of Social Services
2 For the Children’s Division
3 For foster care placement special expenses, respite services, and
4 transportation expenses; expenses related to training of foster
5 parents, provided five percent (5%) flexibility is allowed between
6 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
7 and 11.480
8 From General Revenue Fund (1101) .........................................................................$3,521,178
9 From Department of Social Services Federal Fund (1610) ............................................991,056
10 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,052,169
11 For foster care treatment costs in an outdoor learning foster care program
12 that is licensed or accredited for treatment programming with the
CCS SS SCS HCS HB 11 52
13 reimbursement rate for this service determined by a cost study for
14 payment in addition to other service rates for the foster child,
15 provided that such reimbursement rate shall not exceed the
16 appropriation authority, and further provided that no funds shall
17 be expended to any vendor who fails to report a crime as required
18 by law and/or failed to remove an employee from duties related
19 to the treatment program upon becoming aware of a charge or
20 indictment
21 From General Revenue Fund (1101) ..............................................................................183,385
22 From Department of Social Services Federal Fund (1610) ............................................316,615
23 For awards to licensed community-based foster care and adoption
24 recruitment programs
25 From Foster Care and Adoptive Parents Recruitment and Retention
26 Fund (1979).............................................................................................. 15,000
27 Total ...........................................................................................................................$6,079,403
1 Section 11.421. To the Department of Social Services
2 For the Children's Division
3 For a foster care ministry organization that provides resources and
4 training to help parents provide a temporary or forever home for
5 a child in foster care through in-home coaching, mentoring foster
6 families on a regular basis, and maintaining a relationship with
7 the foster family to ensure success and stability for the child
8 From General Revenue Fund (1101) .........................................................................$1,050,000
1 Section 11.425. To the Department of Social Services
2 For the Children’s Division
3 For foster care maintenance payments, provided five percent (5%)
4 flexibility is allowed between Sections 11.090, 11.405, 11.420,
5 11.425, 11.440, 11.465, 11.475, and 11.480
6 From General Revenue Fund (1101) .......................................................................$56,176,475
7 From Department of Social Services Federal Fund (1610) .......................................21,507,505
8 From Temporary Assistance for Needy Families Federal Fund (1199) ....................20,314,073
9 From Alternative Care Trust Fund (1905) .......................................................... 2,000,000
10 Total .........................................................................................................................$99,998,053
CCS SS SCS HCS HB 11 53
1 Section 11.430. To the Department of Social Services
2 For the Children’s Division
3 For room and board expenses for children placed in a Therapeutic Foster
4 Care (TFC) home setting
5 From General Revenue Fund (1101) .........................................................................$4,566,746
6 From Department of Social Services Federal Fund (1610) ................................. 1,902,621
7 Total ...........................................................................................................................$6,469,367
1 Section 11.435. To the Department of Social Services
2 For the Children’s Division
3 For room and board expenses for children placed in Qualified Residential
4 Treatment Program designated facilities, provided ten percent
5 (10%) flexibility is allowed between subsections within this
6 section
7 For placements in a Qualified Residential Treatment Program/non-
8 Institution for Mental Disease (QRTP/non-IMD) designated
9 facilities
10 From General Revenue Fund (1101) .......................................................................$13,835,914
11 From Department of Social Services Federal Fund (1610) .........................................5,359,649
12 For placements in Qualified Residential Treatment Programs/Institution
13 for Mental Disease (QRTP/IMD) designated facilities
14 From General Revenue Fund (1101) ...........................................................................4,159,992
15 From Department of Social Services Federal Fund (1610) ................................. 680,912
16 Total .........................................................................................................................$24,036,467
1 Section 11.440. To the Department of Social Services
2 For the Children’s Division
3 For residential treatment placements and therapeutic treatment services;
4 and for the diversion of children from inpatient psychiatric
5 treatment and services provided through comprehensive,
6 expedited permanency systems of care for children and families,
7 provided five percent (5%) flexibility is allowed between
8 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
9 and 11.480
10 From General Revenue Fund (1101) .......................................................................$22,594,667
11 From Temporary Assistance for Needy Families Federal Fund (1199) ....................13,351,973
12 From Department of Social Services Federal Fund (1610) ................................. 7,310,026
13 Total .........................................................................................................................$43,256,666
CCS SS SCS HCS HB 11 54
1 Section 11.445. To the Department of Social Services
2 For the Children’s Division
3 For contractual payments for expenses related to training of foster
4 parents
5 From General Revenue Fund (1101) ............................................................................$603,513
6 From Department of Social Services Federal Fund (1610) ................................. 372,934
7 Total ..............................................................................................................................$976,447
1 Section 11.450. To the Department of Social Services
2 For the Children’s Division
3 For foster parent support
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$4,208,037
6 From Department of Social Services Federal Fund (1610) ................................. 1,246,315
7 Total ...........................................................................................................................$5,454,352
1 Section 11.455. To the Department of Social Services
2 For the Children’s Division
3 For costs associated with attending post-secondary education including,
4 but not limited to tuition, books, fees, room and board for current
5 or former foster youth, provided three percent (3%) flexibility is
6 allowed from this section to Section 11.905
7 From General Revenue Fund (1101) ............................................................................$188,848
8 From Department of Social Services Federal Fund (1610) .........................................1,050,000
9 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 450,000
10 Total ...........................................................................................................................$1,688,848
1 Section 11.460. To the Department of Social Services
2 For the Children’s Division
3 For comprehensive case management contracts through community-
4 based organizations as described in Section 210.112, RSMo; the
5 purpose of these contracts shall be to provide a system of care for
6 children living in foster care, independent living, or residential
7 care settings; services eligible under this provision may include,
8 but are not limited to, case management, foster care, residential
9 treatment, intensive in-home services, family reunification
10 services, and specialized recruitment and training of foster care
11 families, provided three percent (3%) flexibility is allowed from
12 this section to Section 11.905
CCS SS SCS HCS HB 11 55
13 From General Revenue Fund (1101) .......................................................................$35,251,584
14 From Department of Social Services Federal Fund (1610) ................................. 21,685,931
15 Total .........................................................................................................................$56,937,515
1 Section 11.465. To the Department of Social Services
2 For the Children’s Division
3 For adoption subsidy payments, provided ten percent (10%) flexibility is
4 allowed between subsections within this section, and further
5 provided five percent (5%) flexibility is allowed between
6 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
7 and 11.480
8 From General Revenue Fund (1101) .......................................................................$55,211,954
9 From Department of Social Services Federal Fund (1610) .......................................51,994,222
10 From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,439,396
11 For guardianship subsidy payments, provided ten percent (10%)
12 flexibility is allowed between subsections within this section, and
13 further provided ten percent (10%) flexibility is allowed between
14 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
15 and 11.480
16 From General Revenue Fund (1101) .........................................................................19,850,562
17 From Department of Social Services Federal Fund (1610) .......................................15,895,630
18 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 11,860,598
19 Total .......................................................................................................................$169,252,362
1 Section 11.470. To the Department of Social Services
2 For the Children’s Division
3 For kinship navigator services
4 Program Distribution
5 From Department of Social Services Federal Fund (1610) ..........................................$372,318
1 Section 11.475. To the Department of Social Services
2 For the Children's Division, provided five percent (5%) flexibility is
3 allowed between Sections 11.090, 11.405, 11.420, 11.425,
4 11.440, 11.465, 11.475, and 11.480
5 For a Family Resource Center with a primary office location, in any city
6 with more than one hundred five thousand but fewer than one
7 hundred twenty-five thousand inhabitants
8 From General Revenue Fund (1101) (including $250,000 one-time) .......................$3,448,434
CCS SS SCS HCS HB 11 56
9 From Department of Social Services Federal Fund (1610) .........................................5,807,580
10 From Temporary Assistance for Needy Families Federal Fund (1199) .........................391,910
11 For a Family Resource Center with a primary office location, in any city
12 with more than forty thousand but fewer than fifty-one thousand
13 inhabitants and partially located in a county with more than
14 seventy thousand but fewer than eighty thousand inhabitants
15 From General Revenue Fund (1101) (including $250,000 one-time) .........................3,309,828
16 From Department of Social Services Federal Fund (1610) .........................................4,686,171
17 From Temporary Assistance for Needy Families Federal Fund (1199) .........................326,023
18 For a Family Resource Center with a primary office location in any
19 county with more than one million inhabitants
20 From General Revenue Fund (1101) (including $250,000 one-time) .........................2,995,302
21 From Department of Social Services Federal Fund (1610) .........................................3,889,565
22 From Temporary Assistance for Needy Families Federal Fund (1199) .........................271,142
23 For a Family Resource Center located in a city with more than sixteen
24 thousand but fewer than eighteen thousand inhabitants and
25 located in more than one county, and located in a city with more
26 than four thousand nine hundred but fewer than five thousand six
27 hundred inhabitants and located in a county with more than
28 fourteen thousand but fewer than fifteen thousand seven hundred
29 inhabitants and with a county seat with more than four thousand
30 nine hundred but fewer than five thousand five hundred
31 inhabitants, and located in a city with more than four thousand
32 nine hundred but fewer than five thousand six hundred
33 inhabitants and that is the county seat of a county with more than
34 twelve thousand five hundred but fewer than fourteen thousand
35 inhabitants
36 From General Revenue Fund (1101) ..............................................................................600,000
37 For a Family Resource Center located in a county with more than
38 seventeen thousand six hundred but fewer than nineteen thousand
39 inhabitants and with a county seat with more than three hundred
40 but fewer than one thousand inhabitants
41 From General Revenue Fund (1101) ..............................................................................300,000
CCS SS SCS HCS HB 11 57
42 For a Family Resource Center located in any city with more than thirty-
43 six thousand five hundred but fewer than forty thousand
44 inhabitants
45 From General Revenue Fund (1101) ..............................................................................500,000
46 For additional Behavioral Intervention Services in areas of need
47 From Department of Social Services Federal Fund (1610) ................................. 900,000
48 Total .........................................................................................................................$27,425,955
1 Section 11.480. To the Department of Social Services
2 For the Children’s Division
3 For independent living placements and transitional living services,
4 provided five percent (5%) flexibility is allowed between
5 Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475,
6 and 11.480
7 From General Revenue Fund (1101) .........................................................................$1,947,584
8 From Department of Social Services Federal Fund (1610) .........................................4,171,219
9 For a non-profit organization with locations in a county with more than
10 two hundred sixty thousand but fewer than three hundred
11 thousand inhabitants and a county with more than thirty thousand
12 but fewer than thirty-five thousand inhabitants and with a county
13 seat with more than nine thousand but fewer than thirteen
14 thousand inhabitants that works to empower youth in foster care
15 and families in crisis to prevent the cycle of trauma, family
16 separation, and homelessness
17 From General Revenue Fund (1101) ..............................................................................500,000
18 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 500,000
19 Total ...........................................................................................................................$7,118,803
1 Section 11.485. To the Department of Social Services
2 For the Children’s Division
3 For Regional Child Assessment Centers, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.905
5 From General Revenue Fund (1101) .........................................................................$2,249,475
6 From Department of Social Services Federal Fund (1610) .........................................1,700,000
7 From Health Initiatives Fund (1275) ................................................................... 501,048
8 Total ...........................................................................................................................$4,450,523
1 Section 11.490. To the Department of Social Services
CCS SS SCS HCS HB 11 58
2 For the Children’s Division
3 For Regional Child Assessment Centers
4 For services and programs administered through the statewide
5 association of Regional Child Assessment Centers aimed at
6 preventing and combating the commercial sexual exploitation of
7 children
8 From General Revenue Fund (1101) ............................................................................$500,000
1 Section 11.491. To the Department of Social Services
2 For the Children’s Division
3 For a Child Assessment Center in a county with more than two hundred
4 sixty thousand but fewer than three hundred thousand inhabitants
5 From General Revenue Fund (1101) (one-time) .......................................................$3,000,000
1 Section 11.495. To the Department of Social Services
2 For the Children’s Division
3 For residential placement payments to counties for children in the
4 custody of juvenile courts
5 From Department of Social Services Federal Fund (1610) ..........................................$175,000
1 Section 11.500. To the Department of Social Services
2 For the Children’s Division
3 For Court Appointed Special Advocate (CASA) IV-E allowable training
4 costs
5 From Department of Social Services Federal Fund (1610) ..........................................$150,000
1 Section 11.505. To the Department of Social Services
2 For the Children’s Division
3 For the Child Abuse and Neglect Prevention Grant and Children’s Justice
4 Act Grant
5 From Department of Social Services Federal Fund (1610) .......................................$1,251,341
1 Section 11.509. To the Department of Social Services
2 For the Children’s Division
3 For payments to one or more contractors to assist the Division with
4 application and administration of benefits on behalf of a child or
5 youth and to establish and administer accounts for a child or
6 youth which include but not limited to a special needs trust, a
CCS SS SCS HCS HB 11 59
7 pooled special needs trust, an ABLE account, or any other trust
8 account
9 From General Revenue Fund (1101) .........................................................................$1,356,992
10 From Department of Social Services Federal Fund (1610) ................................. 507,008
11 Total ...........................................................................................................................$1,864,000
1 Section 11.510. To the Department of Social Services
2 For the Children’s Division
3 For transactions involving personal funds of children to: transfer funds
4 to accounts set up for the child; to make payments directly to the
5 child; to return the funds to the corresponding funding agency; to
6 fund "Unmet needs", needs for which the division is not required
7 by law to provide financial support; or dispose of the funds as
8 otherwise required by law
9 From Alternative Care Trust Fund (1905) ...............................................................$14,000,000
1 Section 11.550. To the Department of Social Services
2 For the Division of Youth Services
3 For the Central Office and regional offices, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.905
5 Personal Service.............................................................................................$1,104,048
6 Expense and Equipment........................................................................... 81,097
7 From General Revenue Fund (1101) ...........................................................................1,185,145
8 Personal Service..................................................................................................262,539
9 Expense and Equipment........................................................................... 13,855
10 From Title XIX - Federal Fund (1163) ...........................................................................276,394
11 Personal Service..................................................................................................984,541
12 Expense and Equipment........................................................................... 86,779
13 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,071,320
14 Expense and Equipment
15 From Youth Services Treatment Fund (1843) ..................................................... 999
16 Total (Not to exceed 39.30 F.T.E.) ............................................................................$2,533,858
1 Section 11.555. To the Department of Social Services
2 For the Division of Youth Services
CCS SS SCS HCS HB 11 60
3 For treatment services, including foster care and contractual payments,
4 provided up to $500,000 can be used for juvenile court diversion,
5 provided ten percent (10%) flexibility is allowed between federal
6 funds, and further provided three percent (3%) flexibility is
7 allowed from this section to Section 11.905
8 Personal Service...........................................................................................$25,775,382
9 Expense and Equipment (including $193,345 one-time)......................... 1,269,481
10 From General Revenue Fund (1101) .........................................................................27,044,863
11 Personal Service...............................................................................................5,257,097
12 Expense and Equipment (including $31,476 one-time)........................... 3,138,715
13 From Title XIX - Federal Fund (1163) ........................................................................8,395,812
14 Personal Service...............................................................................................1,149,407
15 Expense and Equipment........................................................................... 1,125,033
16 From Department of Social Services Federal Fund (1610) .........................................2,274,440
17 Personal Service.............................................................................................13,190,742
18 Expense and Equipment........................................................................... 1,514,715
19 From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,705,457
20 Personal Service...............................................................................................3,999,304
21 Expense and Equipment........................................................................... 3,854,832
22 From DOSS Educational Improvement Fund (1620) ..................................................7,854,136
23 Personal Service..................................................................................................178,072
24 Expense and Equipment........................................................................... 9,106
25 From Health Initiatives Fund (1275) ..............................................................................187,178
26 Expense and Equipment
27 From Youth Services Products Fund (1764) ......................................................................5,000
28 For overtime to non-exempt state employees and/or for paying otherwise
29 authorized personal service expenditures in lieu of such overtime
30 payments; non-exempt state employees identified by Section
31 105.935, RSMo, will be paid first with any remaining funds to be
32 used to pay overtime to any other state employees
33 From General Revenue Fund (1101) ...........................................................................1,133,414
CCS SS SCS HCS HB 11 61
34 For payment distribution of Social Security benefits received on behalf
35 of youth in care
36 From Division of Youth Services Child Benefits Fund (1727) ........................... 200,000
37 Total (Not to exceed 1,016.38 F.T.E.) .....................................................................$61,800,300
1 Section 11.560. To the Department of Social Services
2 For the Division of Youth Services
3 For incentive payments to counties for community-based treatment
4 programs for youth, provided three percent (3%) flexibility is
5 allowed from this section to Section 11.905
6 From General Revenue Fund (1101) .........................................................................$3,479,486
7 From Gaming Commission Fund (1286) ............................................................. 500,000
8 Total ...........................................................................................................................$3,979,486
1 Section 11.600. To the Department of Social Services
2 For the MO HealthNet Division
3 For administrative services, provided three percent (3%) flexibility is
4 allowed from this section to Section 11.905
5 Personal Service.............................................................................................$4,558,319
6 Expense and Equipment........................................................................... 6,203,101
7 From General Revenue Fund (1101) (including $500,000 one-time) .......................10,761,420
8 Personal Service...............................................................................................8,983,345
9 Expense and Equipment........................................................................... 10,187,642
10 From Department of Social Services Federal Fund (1610) (including
11 $500,000 one-time) ........................................................................................19,170,987
12 Personal Service..................................................................................................477,189
13 Expense and Equipment............................................................................ 1,286,088
14 From FMAP Enhancement - Expansion Fund (2466) .................................................1,763,277
15 Personal Service..................................................................................................555,338
16 Expense and Equipment........................................................................... 55,553
17 From Pharmacy Rebates Fund (1114) ............................................................................610,891
18 Personal Service..................................................................................................528,593
19 Expense and Equipment........................................................................... 488,041
20 From Third Party Liability Collections Fund (1120)...................................................1,016,634
21 Personal Service..................................................................................................135,943
CCS SS SCS HCS HB 11 62
22 Expense and Equipment........................................................................... 232,708
23 From Federal Reimbursement Allowance Fund (1142) .................................................368,651
24 Personal Service....................................................................................................34,086
25 Expense and Equipment........................................................................... 356
26 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................34,442
27 Personal Service..................................................................................................113,122
28 Expense and Equipment........................................................................... 10,281
29 From Nursing Facility Quality of Care Fund (1271) ......................................................123,403
30 Personal Service..................................................................................................566,877
31 Expense and Equipment........................................................................... 41,385
32 From Health Initiatives Fund (1275) ..............................................................................608,262
33 Personal Service....................................................................................................57,920
34 Expense and Equipment........................................................................... 425,372
35 From Ground Emergency Medical Transportation Fund (1422) ....................................483,292
36 Expense and Equipment
37 From Life Sciences Research Trust Fund (1763) ...............................................................3,000
38 Personal Service
39 From Missouri Rx Plan Fund (1779) ..............................................................................443,129
40 Personal Service....................................................................................................23,682
41 Expense and Equipment........................................................................... 128,466
42 From Ambulance Service Reimbursement Allowance Fund (1958) ................... 152,148
43 Total (Not to exceed 239.70 F.T.E.) ........................................................................$35,539,536
1 Section 11.605. To the Department of Social Services
2 For the MO HealthNet Division
3 For clinical services management related to the administration of the MO
4 HealthNet Pharmacy fee-for-service and managed care programs
5 and administration of the Missouri Rx Plan, provided three
6 percent (3%) flexibility is allowed from this section to Section
7 11.905
8 Expense and Equipment
9 From General Revenue Fund (1101) ............................................................................$461,917
10 From Department of Social Services Federal Fund (1610) .......................................12,214,032
CCS SS SCS HCS HB 11 63
11 From Pharmacy Rebates Fund (1114) ............................................................................497,648
12 From Third Party Liability Collections Fund (1120)......................................................924,911
13 From Missouri Rx Plan Fund (1779) ................................................................... 62,947
14 Total .........................................................................................................................$14,161,455
1 Section 11.610. To the Department of Social Services
2 For the MO HealthNet Division
3 For MO HealthNet Transformation initiatives
4 Personal Service................................................................................................$622,214
5 Expense and Equipment (including $90,118 one-time)........................... 3,282,863
6 From General Revenue Fund (1101) ...........................................................................3,905,077
7 Personal Service..................................................................................................274,717
8 Expense and Equipment........................................................................... 7,379,326
9 From Department of Social Services Federal Fund (1610) ................................. 7,654,043
10 Total (Not to exceed 13.00 F.T.E.) ..........................................................................$11,559,120
1 Section 11.615. To the Department of Social Services
2 For the MO HealthNet Division
3 For the MO HealthNet Data Management Office administrative expenses
4 Personal Service................................................................................................$225,394
5 Expense and Equipment........................................................................... 11,926
6 From General Revenue Fund (1101) ..............................................................................237,320
7 Personal Service..................................................................................................453,477
8 Expense and Equipment........................................................................... 23,632
9 From Department of Social Services Federal Fund (1610) ................................. 477,109
10 Total (Not to exceed 10.00 F.T.E.) ...............................................................................$714,429
1 Section 11.620. To the Department of Social Services
2 For the MO HealthNet Division
3 For fees associated with third-party collections and other revenue
4 maximization cost avoidance fees
5 Expense and Equipment
6 From Department of Social Services Federal Fund (1610) .......................................$4,250,000
7 From Third Party Liability Collections Fund (1120)........................................... 4,250,000
8 Total ...........................................................................................................................$8,500,000
CCS SS SCS HCS HB 11 64
1 Section 11.625. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Missouri Medicaid Information System (MMIS)
4 For the operation of the information systems, provided five percent (5%)
5 flexibility is allowed between subsections within this section, and
6 further provided three percent (3%) flexibility is allowed from
7 this section to Section 11.905
8 Expense and Equipment
9 From General Revenue Fund (1101) (including $5,800,000 one-time) ..................$30,541,092
10 From Department of Social Services Federal Fund (1610) (including
11 $20,200,000 one-time) ...................................................................................94,389,495
12 From FMAP Enhancement – Expansion Fund (2466) ................................................2,416,534
13 From Uncompensated Care Fund (1108)........................................................................430,000
14 From Health Initiatives Fund (1275) ...........................................................................1,591,687
15 For the operation of the Business Intelligence Solution – Enterprise Data
16 Warehouse (BIS-EDW)
17 Expense and Equipment
18 From General Revenue Fund (1101) ...........................................................................1,961,638
19 From Department of Social Services Federal Fund (1610) .........................................7,684,913
20 For the operation of the Beneficiary Support and Premiums Collections
21 Solution and Services (BSPC) – Enrollment Broker
22 Expense and Equipment
23 From General Revenue Fund (1101) ...........................................................................2,854,462
24 From Department of Social Services Federal Fund (1610) .........................................4,934,119
25 For the operation of the Clinical Management Services and Pharmacy
26 Claims and Prior Authorization (CMSP)
27 Expense and Equipment
28 From General Revenue Fund (1101) ...........................................................................5,138,668
29 From Department of Social Services Federal Fund (1610) .......................................15,303,167
30 For the operation of the pharmacy system and support services-Pharmacy
31 Solution
32 Expense and Equipment
33 From General Revenue Fund (1101) ...........................................................................1,500,000
34 From Department of Social Services Federal Fund (1610) .......................................13,500,000
35 For the operation of the Managed Care Contract Management Tool
CCS SS SCS HCS HB 11 65
36 Expense and Equipment
37 From General Revenue Fund (1101) ..............................................................................700,000
38 From Department of Social Services Federal Fund (1610) ................................. 6,300,000
39 Total .......................................................................................................................$189,245,775
1 Section 11.630. To the Department of Social Services
2 For the MO HealthNet Division
3 For the procurement that is in compliance of Chapter 34 RSMo. for
4 technology for a statewide closed-loop social service referral
5 platform for addressing the social determinants of health, defined
6 as nonclinical community and social factors such as housing,
7 food security, transportation, financial strain, and interpersonal
8 safety, that affect health, functioning, and quality-of-life
9 outcomes; the platform shall: share information securely and
10 consistent with all applicable federal and state laws regarding
11 individual consent, personal health information, privacy, public
12 records, and data security; provide support and be made available
13 statewide, at minimum, to community-based organizations, state
14 agencies; hospital system, county programs, and safety net
15 healthcare providers; identify social care needs through
16 embedded screening and other data analytics tools; coordinate
17 social care referrals and interventions through closed-loop
18 referrals which include not only if the referral occurred but the
19 outcome of the referral; track and measure the outcomes of
20 referrals and the impact of interventions; support client-level
21 community health records where this information is
22 longitudinally stored; and create a longitudinal view of a client's
23 social care opportunities, the social care needs identified for this
24 client, the social care services that this client has been connected
25 to, and the outcomes of these social care interventions over time;
26 the services procured with the platform shall be interoperable
27 with existing closed-loop systems in operation and must include
28 a community engagement team to support the development of
29 multisector network, and provide the identification of, training,
30 onboarding, and ongoing support for community-based
31 organizations
32 Expense and Equipment
33 From General Revenue Fund (1101) (including $2,000,000 one-time) ....................$4,500,000
34 From Department of Social Services Federal Fund (1610) (including
CCS SS SCS HCS HB 11 66
35 $2,000,000 one-time) ............................................................................... 4,500,000
36 Total ...........................................................................................................................$9,000,000
1 Section 11.635. To the Department of Social Services
2 For the MO HealthNet Division
3 For the purpose of supporting the transformation of any or all of the
4 state's existing Health Information Exchanges into a Health Data
5 Utility by providing funds to enhance the existing HIE
6 infrastructure for the purpose of data analysis focused on
7 supporting MO HealthNet. Data analytics provided through the
8 HIE(s) shall provide analysis to MO HealthNet and members
9 focused on enhancing care delivery and system efficiency in the
10 MO HealthNet program and improving health care delivery and
11 outcomes in under-served communities. All HIEs shall be
12 required to maintain strict compliance with all patient privacy
13 protections under HIPAA and any other applicable state or
14 federal laws
15 From General Revenue Fund (1101) .........................................................................$5,000,000
16 From Department of Social Services Federal Fund (1610) ................................. 45,000,000
17 Total .........................................................................................................................$50,000,000
1 Section 11.640. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Money Follows the Person Program
4 From Department of Social Services Federal Fund (1610) .......................................$1,532,549
1 Section 11.700. To the Department of Social Services
2 For the MO HealthNet Division, provided three percent (3%) flexibility
3 is allowed from this section to Section 11.905
4 For pharmaceutical payments under the MO HealthNet fee-for-service
5 program, professional fees for pharmacists, and for a
6 comprehensive chronic care risk management program, provided
7 ten percent (10%) flexibility is allowed between this subsection
8 and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735,
9 11.755, 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830,
10 and 11.840
11 From General Revenue Fund (1101) .....................................................................$167,733,904
12 From Title XIX – Federal Fund (1163) ...................................................................748,801,531
13 From Pharmacy Rebates Fund (1114) .....................................................................260,835,622
CCS SS SCS HCS HB 11 67
14 From Third Party Liability Collections Fund (1120)...................................................4,217,574
15 From Pharmacy Reimbursement Allowance Fund (1144) ........................................35,376,122
16 From Health Initiatives Fund (1275) ...........................................................................3,543,350
17 From Premium Fund (1885) ........................................................................................3,800,000
18 For Medicare Part D Clawback payments, provided ten percent (10%)
19 flexibility is allowed between this subsection and Sections
20 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
21 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
22 From General Revenue Fund (1101) ................................................................... 383,477,210
23 Total ....................................................................................................................$1,607,785,313
1 Section 11.705. To the Department of Social Services
2 For the MO HealthNet Division
3 For the purpose of funding pharmaceutical payments under the Missouri
4 Rx Plan authorized by Sections 208.780 through 208.798, RSMo
5 From General Revenue Fund (1101) .........................................................................$1,235,335
6 From Missouri Rx Plan Fund (1779) ................................................................... 1,188,774
7 Total ...........................................................................................................................$2,424,109
1 Section 11.710. To the Department of Social Services
2 For the MO HealthNet Division
3 For Pharmacy Reimbursement Allowance payments as provided by law
4 From Title XIX – Federal Fund (1163) ...................................................................$37,990,000
5 From Pharmacy Reimbursement Allowance Fund (1144) .................................. 20,010,000
6 Total .........................................................................................................................$58,000,000
1 Section 11.715. To the Department of Social Services
2 For the MO HealthNet Division
3 For physician services and related services including, but not limited to,
4 clinic and podiatry services, telemedicine services, physician-
5 sponsored services and fees, laboratory and x-ray services,
6 asthma related services, diabetes prevention and obesity related
7 services, services provided by chiropractic physicians, and
8 family planning services under the MO HealthNet fee-for-service
9 program, and for a comprehensive chronic care risk management
10 program, and Major Medical Prior Authorization, provided ten
11 percent (10%) flexibility is allowed between this subsection and
12 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
CCS SS SCS HCS HB 11 68
13 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and
14 11.840
15 From General Revenue Fund (1101) .....................................................................$205,478,698
16 From Title XIX – Federal Fund (1163) ...................................................................377,608,324
17 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................10,000
18 From Health Initiatives Fund (1275) ...........................................................................1,427,081
19 From Third Party Liability Collections Fund (1120)......................................................241,046
20 For payment of physician and related services to Certified Community
21 Behavioral Health Organizations (CCBHO), provided that
22 Applied Behavioral Analysis (ABA) services are included in the
23 CCBHO Prospective Payment System
24 From General Revenue Fund (1101) .........................................................................75,180,484
25 From Title XIX – Federal Fund (1163) ............................................................... 140,455,016
26 Total .......................................................................................................................$800,400,649
1 Section 11.720. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Program for All-Inclusive Care for the Elderly (PACE), provided
4 ten percent (10%) flexibility is allowed between this subsection
5 and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735,
6 11.755, 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830,
7 and 11.840
8 From General Revenue Fund (1101) .........................................................................$6,155,311
9 From Title XIX – Federal Fund (1163) ............................................................... 10,776,200
10 Total .........................................................................................................................$16,931,511
1 Section 11.725. To the Department of Social Services
2 For the MO HealthNet Division
3 For dental services under the MO HealthNet fee-for-service program,
4 including adult dental procedure codes (Tier 1-6), provided ten
5 percent (10%) flexibility is allowed between this section and
6 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
7 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and
8 11.840
9 From General Revenue Fund (1101) .........................................................................$4,795,230
10 From Title XIX – Federal Fund (1163) .......................................................................9,125,600
11 From Health Initiatives Fund (1275) ................................................................... 71,162
12 Total .........................................................................................................................$13,991,992
CCS SS SCS HCS HB 11 69
1 Section 11.730. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to third-party insurers, employers, or policy holders for
4 health insurance, provided ten percent (10%) flexibility is
5 allowed between this section and Sections 11.700, 11.715,
6 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775,
7 11.780, 11.810, 11.825, 11.830, and 11.840, and further provided
8 three percent (3%) flexibility is allowed from this section to
9 Section 11.905
10 From General Revenue Fund (1101) .....................................................................$130,235,217
11 From Title XIX – Federal Fund (1163) ............................................................... 251,875,949
12 Total .......................................................................................................................$382,111,166
1 Section 11.735. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding long-term care services
4 For care in nursing facilities under the MO HealthNet fee-for-service
5 program and for contracted services to develop model policies
6 and practices that improve the quality of life for long-term care
7 residents, provided ten percent (10%) flexibility is allowed
8 between this subsection and Sections 11.700, 11.715, 11.720,
9 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
10 11.810, 11.825, 11.830, and 11.840, and further provided five
11 percent (5%) flexibility is allowed from this subsection to the
12 value based incentive payments to nursing facilities subsection
13 within this section
14 From General Revenue Fund (1101) .....................................................................$336,793,119
15 From Title XIX – Federal Fund (1163) ...................................................................728,751,844
16 From Uncompensated Care Fund (1108)...................................................................58,516,478
17 From Third Party Liability Collections Fund (1120)...................................................6,992,981
18 For value-based incentive payments to nursing facilities
19 From General Revenue Fund (1101) .........................................................................12,271,136
20 From Title XIX – Federal Fund (1163) .....................................................................22,507,067
21 For home health for the elderly under the MO HealthNet fee-for-service
22 program, provided ten percent (10%) flexibility is allowed
23 between this subsection and Sections 11.700, 11.715, 11.720,
CCS SS SCS HCS HB 11 70
24 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
25 11.810, 11.825, 11.830, and 11.840
26 From General Revenue Fund (1101) ...........................................................................1,101,019
27 From Title XIX – Federal Fund (1163) .......................................................................1,889,495
28 From Health Initiatives Fund (1275) ................................................................... 159,305
29 Total ....................................................................................................................$1,168,982,444
1 Section 11.740. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding long-term care services
4 For Nursing Facility Reimbursement Allowance payments as provided
5 by law
6 From Title XIX – Federal Fund (1163) .................................................................$244,303,447
7 From Nursing Facility Reimbursement Allowance Fund (1196) ........................ 128,678,915
8 Total .......................................................................................................................$372,982,362
1 Section 11.745. To the Department of Social Services
2 For the MO HealthNet Division
3 For rehabilitative and preventative care services ordered by a physician
4 and delivered by an Assisted Living Facility, provided one
5 hundred percent (100%) flexibility is allowed between funds
6 From General Revenue Fund (1101) .......................................................................................$1
7 From Title XIX – Federal Fund (1163) ............................................................... 1
8 Total .........................................................................................................................................$2
1 Section 11.750. To the Department of Social Services
2 For the MO HealthNet Division
3 For publicly funded long-term care services and support contracts and
4 funding supplemental payments for care in nursing facilities
5 under the nursing facility upper payment limit
6 From Title XIX – Federal Fund (1163) .....................................................................$7,080,493
7 From Long Term Support UPL Fund (1724)....................................................... 3,870,275
8 Total .........................................................................................................................$10,950,768
1 Section 11.755. To the Department of Social Services
2 For the MO HealthNet Division
3 For all other non-institutional services including, but not limited to,
4 rehabilitation, optometry, audiology, ambulance, non-emergency
5 medical transportation, durable medical equipment, and
CCS SS SCS HCS HB 11 71
6 eyeglasses under the MO HealthNet fee-for-service program, and
7 for rehabilitation services provided by residential treatment
8 facilities as authorized by the Children’s Division for children in
9 the care and custody of the Children’s Division, provided ten
10 percent (10%) flexibility is allowed between this subsection and
11 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
12 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and
13 11.840
14 From General Revenue Fund (1101) .....................................................................$118,126,658
15 From Title XIX – Federal Fund (1163) ...................................................................253,390,880
16 From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,414,043
17 From Health Initiatives Fund (1275) ..............................................................................194,881
18 From Ambulance Service Reimbursement Allowance Fund (1958) .........................10,159,809
19 For non-emergency medical transportation, provided ten percent (10%)
20 flexibility is allowed between this subsection and Sections
21 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
22 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
23 From General Revenue Fund (1101) .........................................................................21,390,544
24 From Title XIX – Federal Fund (1163) .....................................................................40,273,219
25 For the federal share of MO HealthNet reimbursable non-emergency
26 medical transportation for public entities
27 From Title XIX – Federal Fund (1163) ............................................................... 2,555,469
28 Total .......................................................................................................................$447,505,503
1 Section 11.760. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to providers of ground emergency medical transportation
4 From Title XIX – Federal Fund (1163) ...................................................................$54,286,596
5 From Ground Emergency Medical Transportation Fund (1422) ......................... 29,673,650
6 Total .........................................................................................................................$83,960,246
1 Section 11.765. To the Department of Social Services
2 For the MO HealthNet Division
3 For complex rehabilitation technology items classified within the
4 Medicare program as of January 1, 2014 as durable medical
5 equipment that are individually configured for individuals to
6 meet their specific and unique medical, physical, and functional
CCS SS SCS HCS HB 11 72
7 needs and capacities for basic activities of daily living and
8 instrumental activities of daily living identified as medically
9 necessary to prevent hospitalization and/or institutionalization of
10 a complex needs patient; such items shall include, but not be
11 limited to, complex rehabilitation power wheelchairs, highly
12 configurable manual wheelchairs, adaptive seating and
13 positioning systems, and other specialized equipment such as
14 standing frames and gait trainers, provided ten percent (10%)
15 flexibility is allowed between this section and Sections 11.700,
16 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770,
17 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840, and further
18 provided three percent (3%) flexibility is allowed from this
19 section to Section 11.905
20 From General Revenue Fund (1101) .........................................................................$4,727,278
21 From Title XIX – Federal Fund (1163) ............................................................... 7,523,252
22 Total .........................................................................................................................$12,250,530
1 Section 11.770. To the Department of Social Services
2 For the MO HealthNet Division
3 For payment to comprehensive prepaid health care plans for the general
4 plan as provided by federal or state law or for payments to
5 programs authorized by the Frail Elderly Demonstration Project
6 Waiver as provided by the Omnibus Budget Reconciliation Act
7 of 1990 (P.L.101-508, Section 4744) and by Section 208.152
8 (16), RSMo,; provided that the department shall implement
9 programs or measures to achieve cost-savings through
10 emergency room services reform, and further provided that MO
11 HealthNet eligibles described in Section 501(a)(1)(D) of Title V
12 of the Social Security Act may voluntarily enroll in the Managed
13 Care Program, and further provided that the Department shall
14 direct its contracted actuary to develop an Aged, Blind, and
15 Disabled rate cell inside the MO HealthNet Managed Care
16 program to reflect the cost of those members choosing to be
17 enrolled in a managed care plan, and further provided ten percent
18 (10%) flexibility is allowed between this subsection and Sections
19 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
20 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
21 From General Revenue Fund (1101) .......................................................................$25,325,523
22 From Title XIX – Federal Fund (1163) ................................................................1,240,321,126
CCS SS SCS HCS HB 11 73
23 From Uncompensated Care Fund (1108)...................................................................33,848,436
24 From Health Initiatives Fund (1275) .........................................................................18,590,380
25 From Federal Reimbursement Allowance Fund (1142) ..........................................155,083,260
26 From Healthy Families Trust Fund (1625) ................................................................14,435,373
27 From Life Sciences Research Trust Fund (1763) ......................................................26,697,272
28 From Medicaid Stabilization Fund (1809) (one-time).............................................421,507,198
29 From Premium Fund (1885) ........................................................................................9,259,854
30 From Ambulance Service Reimbursement Allowance Fund (1958) ...........................2,892,711
31 For supplemental Medicare parity payments to primary care physicians
32 relating to maternal-fetal medicine, neonatology, and pediatric
33 cardiology
34 From General Revenue Fund (1101) ...........................................................................1,498,587
35 From Title XIX – Federal Fund (1163) .......................................................................2,854,045
36 For supplemental payments to Tier 1 Safety Net Hospitals, or to any
37 affiliated physician group that provides physicians for any Tier 1
38 Safety Net Hospital, for physician and other healthcare
39 professional services as approved by the Centers for Medicare
40 and Medicaid Services
41 From Title XIX – Federal Fund (1163) .....................................................................44,699,437
42 From Department of Social Services Intergovernmental Transfer Fund
43 (1139) .............................................................................................................24,433,204
44 For payments to providers of public ground emergency medical
45 transportation, pursuant to Sections 208.1030 and 208.1032
46 RSMo., when providing services to persons paid for under this
47 section
48 From Title XIX – Federal Fund (1163) .....................................................................25,954,375
49 From Ground Emergency Medical Transportation Fund (1422) ......................... 13,670,624
50 Total ....................................................................................................................$2,061,071,405
1 Section 11.771. To the Department of Social Services
2 For the MO HealthNet Division
3 For a non-for-profit healthcare system to contract with and provide funds
4 to serve all patients regardless of income who is based in any city
5 with more than sixteen thousand but fewer than eighteen
6 thousand inhabitants and located in more than one county,
7 provided that funds are to be used by the not-for-profit healthcare
CCS SS SCS HCS HB 11 74
8 system for the planning, design, construction, and equipment of
9 a radiation oncology center that has received necessary approval
10 from the Missouri Health Facilities Review Committee for
11 included major medical equipment, to be located in any county
12 with more than twenty-five thousand but fewer than thirty
13 thousand inhabitants and with a county seat with more than
14 fourteen thousand but fewer than twenty thousand inhabitants,
15 based on the 2020 Census Redistricting Data (Public Law 94-
16 171) of the United States Census Bureau
17 From General Revenue Fund (1101) (one-time) .....................................................$15,000,000
18 For a nonprofit healthcare foundation in any county with more than
19 twenty-five thousand but fewer than thirty thousand inhabitants
20 and with a county seat with more than eight thousand but fewer
21 than twelve thousand inhabitants, and in any county with more
22 than fourteen thousand but fewer than fifteen thousand seven
23 hundred inhabitants and with a county seat with more than five
24 thousand five hundred but fewer than eight thousand inhabitants
25 From General Revenue Fund (1101) (one-time) .......................................................25,000,000
26 For a community owned, not-for-profit medical center located in any city
27 with more than eleven thousand but fewer than twelve thousand
28 five hundred inhabitants and that is the county seat of a county
29 with more than thirty-five thousand but fewer than forty thousand
30 inhabitants, for the purchase of a surgical robot
31 From General Revenue Fund (1101) (one-time) .........................................................2,000,000
32 For a hospital located in any city with more than ten thousand but fewer
33 than eleven thousand inhabitants and that is the county seat of a
34 county with more than thirty thousand but fewer than thirty-five
35 thousand inhabitants for renovations and to purchase new
36 equipment
37 From General Revenue Fund (1101) (one-time) .........................................................1,000,000
38 For a not-for profit medical center located in any city with more than
39 sixteen thousand but fewer than eighteen thousand inhabitants
40 and partially located in a county with more than thirty-five
41 thousand but fewer than forty thousand inhabitants for
42 renovations and to purchase medical equipment
43 From General Revenue Fund (1101) (one-time) .........................................................2,037,900
CCS SS SCS HCS HB 11 75
44 For the construction of a community health center located in a city not
45 within a county that will provide primary care, pharmaceutical,
46 and behavioral health services
47 From General Revenue Fund (1101) (one-time) ................................................. 1,000,000
48 Total .........................................................................................................................$46,037,900
1 Section 11.775. To the Department of Social Services
2 For the MO HealthNet Division
3 For payment to a comprehensive prepaid health care plan for the
4 specialty plan as provided by federal or state law or for payments
5 to programs authorized by the Frail Elderly Demonstration
6 Project Waiver as provided by the Omnibus Budget
7 Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by
8 Section 208.152 (16), RSMo.; and further provided ten percent
9 (10%) flexibility is allowed between this section and Sections
10 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
11 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
12 From General Revenue Fund (1101) .....................................................................$122,441,338
13 From Title XIX – Federal Fund (1163) ...................................................................221,844,455
14 From Federal Reimbursement Allowance Fund (1142) ............................................21,102,611
15 From Ambulance Service Reimbursement Allowance Fund (1958) ..............................300,000
16 For payments to providers of public ground emergency medical
17 transportation, pursuant to Sections 208.1030 and 208.1032
18 RSMo., when providing services to persons paid for under this
19 section
20 From Title XIX – Federal Fund (1163) .......................................................................1,760,313
21 From Ground Emergency Medical Transportation Fund (1422) ......................... 927,188
22 Total .......................................................................................................................$368,375,905
1 Section 11.780. To the Department of Social Services
2 For the MO HealthNet Division
3 For hospital care under the MO HealthNet fee-for-service program,
4 graduate medical education, and for a comprehensive chronic
5 care risk management program, provided that the MO HealthNet
6 Division shall track payments to out-of-state hospitals by
7 location, and further provided the department seek a waiver of
8 the institutions for mental disease (IMD) exclusion for inpatient
9 mental health treatment for MO HealthNet participants in
CCS SS SCS HCS HB 11 76
10 psychiatric hospitals pursuant to Section 12003 of the 21st
11 Century Cures Act with the state share through the federal
12 reimbursement allowance; and further provided ten percent
13 (10%) flexibility is allowed between this subsection and Sections
14 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
15 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
16 From General Revenue Fund (1101) .......................................................................$62,217,790
17 From Title XIX – Federal Fund (1163) ...................................................................343,426,089
18 From Federal Reimbursement Allowance Fund (1142) ..........................................112,216,293
19 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................15,709
20 For rate increases for inpatient hospital psychiatric care
21 From General Revenue Fund (1101) ...........................................................................8,000,000
22 From Title XIX – Federal Fund (1163) .....................................................................16,500,000
23 From Federal Reimbursement Allowance Fund (1142) .................................................500,000
24 For Safety Net Payments
25 From Healthy Families Trust Fund (1625) ................................................................30,365,444
26 For the Remote Patient Monitoring program that includes in-home visits
27 and/or phone contact by a nurse care manager or electronic
28 monitor; the purpose of such program shall be to ensure that
29 patients are discharged from hospitals to an appropriate level of
30 care and services and that targeted MO HealthNet beneficiaries
31 with chronic illnesses and high-risk pregnancies receive care in
32 the most cost-effective setting
33 From Title XIX – Federal Fund (1163) ..........................................................................200,000
34 From Federal Reimbursement Allowance Fund (1142) .................................................200,000
35 For the Rx Reminder program, facilitating medication compliance for
36 chronically ill MO HealthNet participants identified by the
37 division as having high utilization of acute care because of poor
38 management of their condition
39 From Title XIX – Federal Fund (1163) ..........................................................................215,000
40 From Federal Reimbursement Allowance Fund (1142) ...................................... 215,000
41 Total .......................................................................................................................$574,071,325
1 Section 11.785. To the Department of Social Services
2 For the MO HealthNet Division
CCS SS SCS HCS HB 11 77
3 For the Transformation of Rural Community Health (ToRCH) Rural
4 Hospital Health Hub
5 From General Revenue Fund (1101) .........................................................................$3,750,000
6 From Title XIX – Federal Fund (1163) .......................................................................7,500,000
7 From Federal Reimbursement Allowance Fund (1142) ...................................... 3,750,000
8 Total .........................................................................................................................$15,000,000
1 Section 11.790. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to Tier 1 Safety Net Hospitals for enhanced rates to
4 providers and to plan and develop a regional Barriers to Care
5 proposal while maximizing eligible costs for federal Medicaid
6 funds, utilizing current state and local funding sources as match
7 for services that are not currently matched with federal Medicaid
8 payments
9 From Title XIX – Federal Fund (1163) ...................................................................$17,613,590
10 From Department of Social Services Intergovernmental Transfer Fund
11 (1139) ....................................................................................................... 1,709,202
12 Total .........................................................................................................................$19,322,792
1 Section 11.793. To the Department of Social Services
2 For the MO HealthNet Division
3 For indirect medical education (IME) payments to public acute care
4 safety net hospitals who serve as the primary teaching hospitals
5 for the state’s two public medical schools, University of
6 Missouri-Columbia School of Medicine and University of
7 Missouri-Kansas City School of Medicine; payments from this
8 section are for the difference between IME payments paid under
9 the Diagnosis-Related Group (DRG) methodology and 100% of
10 allowable funds
11 From Title XIX - Federal Fund (1163) ....................................................................$12,743,511
12 From Department of Social Services Intergovernmental Transfer Fund
13 (1139) ....................................................................................................... 6,965,591
14 Total .........................................................................................................................$19,709,102
1 Section 11.795. To the Department of Social Services
2 For the MO HealthNet Division, provided three percent (3%) flexibility
3 is allowed from this section to Section 11.905
4 For Federally Qualified Health Centers (FQHCs)
CCS SS SCS HCS HB 11 78
5 For grants to Federally Qualified Health Centers
6 From General Revenue Fund (1101) ............................................................................$757,732
7 For a community health worker initiative that focuses on providing
8 casework services to high utilizers of MO HealthNet Services
9 From General Revenue Fund (1101) ...........................................................................2,500,000
10 From Department of Social Services Federal Fund (1610) .........................................2,500,000
11 For statewide women and minority health care outreach programs
12 Expense and Equipment
13 From General Revenue Fund (1101) ...........................................................................2,029,796
14 From Department of Social Services Federal Fund (1610) ................................. 2,029,796
15 Total ...........................................................................................................................$9,817,324
1 Section 11.800. To the Department of Social Services
2 For the MO HealthNet Division
3 For Federally Qualified Health Centers (FQHCs)
4 For a grant program for a substance abuse prevention network for a
5 FQHC located in a county with more than two hundred sixty
6 thousand but fewer than three hundred thousand inhabitants
7 From General Revenue Fund (1101) .........................................................................$1,000,000
8 From Department of Social Services Federal Fund (1610) ............................................250,000
9 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,100,000
10 For a grant program for a substance abuse prevention network
11 From General Revenue Fund (1101) ...........................................................................1,000,000
12 From Department of Social Services Federal Fund (1610) ............................................250,000
13 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,100,000
14 Total ...........................................................................................................................$5,700,000
1 Section 11.805. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to technical assistance contractors under Section 330(l) or
4 330(m) of the Public Health Services Act to assist Federally
5 Qualified Health Centers (FQHCs) with outreach and
6 engagement of Medicaid beneficiaries assigned to FQHCs, for
7 addressing gaps in preventive services and management of
8 chronic conditions, and for incentive payments
9 From General Revenue Fund (1101) .........................................................................$1,918,645
CCS SS SCS HCS HB 11 79
10 From Department of Social Services Federal Fund (1610) ................................. 1,918,645
11 Total ...........................................................................................................................$3,837,290
1 Section 11.810. To the Department of Social Services
2 For the MO HealthNet Division
3 For health homes, provided ten percent (10%) flexibility is allowed
4 between this section and Sections 11.700, 11.715, 11.720,
5 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
6 11.810, 11.825, 11.830, and 11.840
7 From General Revenue Fund (1101) .........................................................................$6,142,744
8 From Title XIX – Federal Fund (1163) .....................................................................21,244,936
9 From Federal Reimbursement Allowance Fund (1142) ...................................... 7,893,011
10 Total .........................................................................................................................$35,280,691
1 Section 11.815. To the Department of Social Services
2 For the MO HealthNet Division
3 For a health home for children with medically complex conditions
4 pursuant to the Medicaid Services Investment and Accountability
5 Act of 2019 H.R.1839 otherwise known as Advancing Care for
6 Exceptional (ACE) Kids Act
7 From General Revenue Fund (1101) ............................................................................$404,685
8 From Title XIX – Federal Fund (1163) ............................................................... 740,353
9 Total ...........................................................................................................................$1,145,038
1 Section 11.820. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to hospitals under the Federal Reimbursement Allowance
4 Program including state costs to pay for an independent audit of
5 Disproportionate Share Hospital payments as required by the
6 Centers for Medicare and Medicaid Services, for the expenses of
7 the Poison Control Center in order to provide services to all
8 hospitals within the state
9 For a continuation of the services provided through Medicaid Emergency
10 Psychiatric Demonstration as required by Section 208.152(16),
11 RSMo
12 From Title XIX – Federal Fund (1163) ..............................................................$1,009,829,930
13 From Title XXI – Children’s Health Insurance Program Federal Fund
14 (1159) ...........................................................................................................103,540,136
15 From Federal Reimbursement Allowance Fund (1142) ...................................... 538,602,211
CCS SS SCS HCS HB 11 80
16 Total ....................................................................................................................$1,651,972,277
1 Section 11.825. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding programs to enhance access to care for uninsured children
4 using fee-for-service, prepaid health plans, or other alternative
5 service delivery and reimbursement methodology approved by
6 the director of the Department of Social Services, provided that
7 families of children receiving services under this section shall pay
8 the following premiums to be eligible to receive such services:
9 zero percent on the amount of a family's income which is less
10 than or equal to 150 percent of the federal poverty level; four
11 percent on the amount of a family's income which is less than or
12 equal to 185 percent of the federal poverty level but greater than
13 150 percent of the federal poverty level; eight percent on the
14 amount of a family's income which is less than or equal to 225
15 percent of the federal poverty level but greater than 185 percent
16 of the federal poverty level; fourteen percent on the amount of a
17 family's income which is less than or equal to 300 percent of the
18 federal poverty level but greater than 225 percent of the federal
19 poverty level not to exceed five percent of total income; families
20 with an annual income of more than 300 percent of the federal
21 poverty level are ineligible for this program, provided ten percent
22 (10%) flexibility is allowed between this section and Sections
23 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
24 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840
25 From General Revenue Fund (1101) .....................................................................$121,000,402
26 From Title XXI – Children’s Health Insurance Program Federal Fund
27 (1159) ...........................................................................................................383,898,531
28 From Federal Reimbursement Allowance Fund (1142) ..............................................7,719,204
29 For payments to providers of public ground emergency medical
30 transportation, pursuant to Sections 208.1030 and 208.1032
31 RSMo., when providing services to persons paid for under this
32 section
33 From Title XXI – Children’s Health Insurance Program Federal Fund
34 (1159) ...............................................................................................................1,896,325
35 From Ground Emergency Medical Transportation Fund (1422) ......................... 603,675
36 Total .......................................................................................................................$515,118,137
CCS SS SCS HCS HB 11 81
1 Section 11.830. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Show-Me Healthy Babies Program authorized by Section
4 208.662, RSMo, provided ten percent (10%) flexibility is allowed
5 between this section and Sections 11.700, 11.715, 11.720,
6 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
7 11.810, 11.825, 11.830, and 11.840, and further provided three
8 percent (3%) flexibility is allowed from this section to Section
9 11.905
10 From General Revenue Fund (1101) .......................................................................$26,969,657
11 From Title XXI – Children’s Health Insurance Program Federal Fund
12 (1159) ....................................................................................................... 81,266,553
13 Total .......................................................................................................................$108,236,210
1 Section 11.835. To the Department of Social Services
2 For the MO HealthNet Division
3 For MO HealthNet services for the Department of Elementary and
4 Secondary Education under the MO HealthNet fee-for-service
5 program
6 From General Revenue Fund (1101) ............................................................................$242,525
7 From Title XIX - Federal Fund (1163) ................................................................ 139,864,081
8 Total .......................................................................................................................$140,106,606
1 Section 11.840. To the Department of Social Services
2 For the MO HealthNet Division
3 For medical benefits for blind individuals ineligible for MO HealthNet
4 coverage who receive the Missouri Blind Pension cash grant,
5 provided that individuals under this section shall pay the
6 following premiums to be eligible to receive such services: zero
7 percent on the amount of a family's income which is less than 150
8 percent of the federal poverty level; four percent on the amount
9 of a family's income which is less than 185 percent of the federal
10 poverty level but greater than or equal to 150 percent of the
11 federal poverty level; eight percent of the amount on a family's
12 income which is less than 225 percent of the federal poverty level
13 but greater than or equal to 185 percent of the federal poverty
14 level; fourteen percent on the amount of a family's income which
15 is less than 300 percent of the federal poverty level but greater
16 than or equal to 225 percent of the federal poverty level not to
CCS SS SCS HCS HB 11 82
17 exceed five percent of total income; families with an annual
18 income equal to or greater than 300 percent of the federal poverty
19 level are ineligible for this program, and further provided ten
20 percent (10%) flexibility is allowed between this section and
21 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
22 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and
23 11.840, and further provided three percent (3%) flexibility is
24 allowed from this section to Section 11.905
25 From General Revenue Fund (1101) .......................................................................$24,840,169
1 Section 11.845. To the Department of Social Services
2 For the MO HealthNet Division
3 For program distributions related to Section 36(c) of Article IV of the
4 Missouri Constitution
5 From Title XIX - Adult Expansion Federal Fund (1358) ...................................$3,762,683,062
6 From FMAP Enhancement – Expansion Fund (2466) ............................................352,525,940
7 From Pharmacy Reimbursement Allowance Fund (1144) ..........................................1,693,020
8 From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,580,152
9 From Ambulance Service Reimbursement Allowance Fund (1958) ..............................565,267
10 From Federal Reimbursement Allowance Fund (1142) ............................................61,825,313
11 For supplemental payments to Tier 1 Safety Net Hospitals, or to any
12 affiliated physician group that provides physicians for any Tier 1
13 Safety Net Hospital, for physician and other healthcare
14 professional services as approved by the Centers for Medicare
15 and Medicaid Services
16 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................43,697,736
17 From Department of Social Services Intergovernmental Transfer Fund
18 (1139) ...............................................................................................................4,855,304
19 For payments to the Department of Mental Health for Community
20 Psychiatric Rehabilitation (CPR) services, Comprehensive
21 Substance Abuse Treatment and Rehabilitation (CSTAR)
22 services, Targeted Case Management (TCM) for behavioral
23 health services, and Certified Community Behavioral Health
24 Organizations (CCBHO) for MO HealthNet participants and the
25 uninsured
26 From Title XIX - Adult Expansion Federal Fund (1358) ........................................286,209,702
27 From Department of Social Services Intergovernmental Transfer Fund
CCS SS SCS HCS HB 11 83
28 (1139) .............................................................................................................31,801,078
29 For payments to providers of public ground emergency medical
30 transportation, pursuant to Sections 208.1030 and 208.1032
31 RSMo., when providing services to persons paid for under this
32 section
33 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................15,918,750
34 From Ground Emergency Medical Transportation Fund (1422) ......................... 1,768,750
35 Total ....................................................................................................................$4,565,124,074
1 Section 11.850. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund for the purpose of providing the state
4 match for Medicaid payments
5 From Department of Social Services Intergovernmental Transfer Fund
6 (1139) .........................................................................................................$137,074,165
1 Section 11.855. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to the Department of Mental Health for Community
4 Psychiatric Rehabilitation (CPR) services, Comprehensive
5 Substance Abuse Treatment and Rehabilitation (CSTAR)
6 services, Targeted Case Management (TCM) for behavioral
7 health services, and Certified Community Behavioral Health
8 Organizations (CCBHO) for MO HealthNet participants and the
9 uninsured
10 From Title XIX - Federal Fund (1163) ..................................................................$613,086,698
11 From Department of Social Services Intergovernmental Transfer Fund
12 (1139) ....................................................................................................... 312,731,712
13 Total .......................................................................................................................$925,818,410
1 Section 11.860. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Pharmacy Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .......................................................................$38,737,111
CCS SS SCS HCS HB 11 84
1 Section 11.865. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Pharmacy Reimbursement Allowance Fund (1144) ......................................$38,737,111
1 Section 11.870. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Ambulance Service Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .......................................................................$20,837,332
1 Section 11.875. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Ambulance Service Reimbursement Allowance Fund (1958) .......................$20,837,332
1 Section 11.880. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the Federal
3 Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .....................................................................$718,701,378
1 Section 11.885. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Federal Reimbursement Allowance Fund (1142) ........................................$718,701,378
1 Section 11.890. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Nursing Facility Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .....................................................................$210,950,510
1 Section 11.895. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Nursing Facility Reimbursement Allowance Fund (1196) ..........................$210,950,510
1 Section 11.900. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Nursing Facility Quality of Care Fund in accordance with Section
4 198.418.1, RSMo., to be used by the Department of Health and
CCS SS SCS HCS HB 11 85
5 Senior Services for conducting inspections and surveys and
6 providing training and technical assistance to facilities licensed
7 under the provisions of Chapter 198
8 From Nursing Facility Reimbursement Allowance Fund (1196) ..............................$1,500,000
1 Section 11.905. To the Department of Social 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 11.2005. To the Department of Social Services
2 In reference to Section 11.080 of Part 1 of this act:
3 No funds shall be expended in furtherance of reimbursement rates
4 greater than $17 per day.
1 Section 11.2010. To the Department of Social Services
2 In reference to Section 11.155 of Part 1 of this act:
3 No funds shall be expended in furtherance of contract rates
4 greater than the rate in effect on January 1, 2025.
1 Section 11.2015. To the Department of Social Services
2 In reference to Section 11.200 of Part 1 of this act:
3 No funds shall be expended in furtherance of Blind Pension rates
4 greater than $917 per month and $762 per month for
5 Supplemental Aid to the Blind.
1 Section 11.2025. To the Department of Social Services
2 In reference to Sections 11.405, 11.420, 11.425, 11.430, 11.435,
3 11.440, 11.460, 11.465, 11.475, 11.555, 11.775, 11.765, 11.780
4 and 11.810 of Part 1 of this act:
5 No funds shall be expended in furtherance of provider rates
6 greater than the rate in effect on January 1, 2025.
1 Section 11.2030. To the Department of Social Services
2 In reference to Section 11.420 of Part 1 of this act:
CCS SS SCS HCS HB 11 86
3 No funds shall be expended in furtherance of outdoor learning
4 foster care program provider rates greater than $258 per day.
1 Section 11.2035. To the Department of Social Services
2 In reference to Sections 11.430, 11.755, and 11.775 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of Therapeutic Foster
5 Care provider rates greater than: $173.08 per day for Level 1,
6 $262.02 per day for Level II.
1 Section 11.2040. To the Department of Social Services
2 In reference to Sections 11.435, 11.755, and 11.775 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of QRTP/non-IMD
5 and QRTP/IMD rates greater than: $194.47 per day for Level II,
6 $239.16 per day for Level III, $253.80 per day for Level IV.
1 Section 11.2045. To the Department of Social Services
2 In reference to Sections 11.435, 11.440, 11.755, and 11.775 of
3 Part 1 of this act:
4 Expenses for children placed in a residential treatment facility
5 shall be covered for placements ordered by the court and not
6 recommended by an independent assessor.
1 Section 11.2047. To the Department of Social Services
2 In reference to Sections 11.435, 11.440, 11.755, 11.775, and
3 11.780 of Part 1 of this act:
4 Provided that funding may be expended for the purposes of
5 transitioning children in the Children’s Division custody from a
6 current stay or preventing a stay in: 1) an out of state placement,
7 2) a hospital boarding arrangement, or 3) hotel boarding
8 arrangement.
1 Section 11.2050. To the Department of Social Services
2 In reference to Sections 11.440 and 11.780 of Part 1 of this act:
3 No funds shall be expended in furtherance of Psychiatric
4 Residential Treatment Facility (PRTF) provider rates greater than
5 $471.46 per day.
CCS SS SCS HCS HB 11 87
1 Section 11.2055. To the Department of Social Services
2 In reference to Section 11.715 of Part 1 of this act:
3 No funds shall be expended in furtherance of physician provider
4 rates greater than the rate in effect on January 1, 2024, except
5 rates for Certified Community Behavioral Health Clinics, for
6 which no funds shall be expended in furtherance of actuarial rates
7 greater than those approved by the Department of Mental Health,
8 and further excepting rates for autism services, for which no
9 funds shall be expended in furtherance of autism rates paid by the
10 Department of Mental Health on January 1, 2025, and further
11 excepting independent lab rates, for which no funds shall be
12 expended in furtherance of 90% of the calendar year 2023
13 Medicare allowed rate, and further excepting ophthalmologist
14 rates, for which no funds shall be expended in furtherance of 85%
15 of the calendar year 2023 Medicare allowed rate, and further
16 excepting anesthesia rates for dental services, for which no funds
17 shall be expended greater than 63% of the Medicare conversion
18 factor for anesthesia services for dental procedures performed in
19 medical surgical centers.
1 Section 11.2060. To the Department of Social Services
2 In reference to Section 11.725 of Part 1 of this act:
3 No funds shall be expended in furtherance of dental provider
4 rates greater than the rate in effect on January 1, 2025, except for
5 dental anesthesia codes, for which no funds shall be expended in
6 furtherance of 80% of the 50th percentile of the comparable
7 Usual Customary and Reasonable (UCR) rates on January 1,
8 2024, and further excepting dentist extraction rates, for which no
9 funds shall be expended in furtherance of dentist extraction codes
10 to 38.5% of the 50th percentile of the comparable UCR rates on
11 January 1, 2024.
1 Section 11.2065. To the Department of Social Services
2 In reference to Sections 11.735 and 11.740 of Part 1 of this act:
3 No funds shall be expended in furtherance of nursing facility
4 provider rates greater than the rebased rate, in the aggregate,
5 determined by the FY2022 nursing facility cost reports, excepting
6 case mix index adjustments and value based payment
7 adjustments. No funds shall be expended in furtherance of home
CCS SS SCS HCS HB 11 88
8 health provider rates greater than $12.42 per visit of the rate in
9 effect on January 1, 2024. No funds shall be expended for
10 Certified Nursing Assistant (CNA) training reimbursement
11 greater than $1,500 per enrollee.
1 Section 11.2070. To the Department of Social Services
2 In reference to Section 11.755 of Part 1 of this act:
3 No funds shall be expended in furtherance of rehabilitation and
4 specialty provider rates greater than the rate in effect on January
5 1, 2025, except providers of non-emergency medical
6 transportation for MO HealthNet and Department of Mental
7 Health for which no funds shall be expended in furtherance of
8 provider rates greater than the lower bound actuarial soundness
9 rate, and further excepting providers of hospice care, for which
10 no funds shall be expended in furtherance of provider rates
11 greater than 2.5% for routine home care, continuous care,
12 inpatient respite care, and general inpatient care greater than the
13 blended rate in effect on January 1, 2025, and for which no funds
14 shall be expended in furtherance of rates no greater than 95% of
15 the nursing facility per diem rate for room and board for services
16 provided in a nursing facility, and further excepting air
17 ambulance provider rates for whom no funds shall be expended
18 in furtherance of provider rates greater than 90% of the Medicare
19 calendar year 2024 rate from the rate in effect on December 30,
20 2023.
1 Section 11.2075. To the Department of Social Services
2 In reference to Sections 11.770 and 11.775 of Part 1 of this act:
3 No funds shall be expended in furtherance of managed care
4 contract rates greater than the lower bound actuarial soundness
5 rate.
1 Section 11.2080. To the Department of Social Services
2 In reference to Sections 11.780 and 11.820 in Part 1 of this act:
3 Provided that in-patient Medicaid psychiatric free-standing
4 hospitals have a minimum rate equivalent to the state fiscal year
5 2025 weighted average daily rate of $1,194.22.
1 Section 11.2085. To the Department of Social Services
CCS SS SCS HCS HB 11 89
2 In reference to Sections 11.780 and 11.820 of Part 1 of this act:
3 No funds shall be expended for out-of-state payments.
1 Section 11.2090. To the Department of Social Services
2 In reference to Sections 11.780 and 11.820 of Part 1 of this act:
3 No funds shall be expended in furtherance of the outpatient
4 hospital services fee schedule greater than 3% of the rate in effect
5 January 1, 2025.
1 Section 11.2095. To the Department of Social Services
2 In reference to Section 11.815 of Part 1 of this act:
3 No funds shall be expended in furtherance of a $4.69 PMPM to
4 the Care Coordination PMPM component to advance the
5 management of social determinants for health home participants.
1 Section 11.2100. To the Department of Social Services
2 In reference to all sections except for Section 11.845 in Part 1 of
3 this act:
4 No funds shall be expended for program distributions related to
5 Section 36(c) of Article IV of the Missouri Constitution
PART 3
1 Section 11.3005. To the Department of Social Services
2 In reference to Section 11.420 of Part 1 and Part 2 of this act:
3 Special expenses for clothing allowances shall be paid at least
4 quarterly.
1 Section 11.3010. To the Department of Social Services
2 In reference to Sections 11.615 and 11.625 of Part 1 and Part 2
3 of this act:
4 The Department shall provide the House Appropriations and
5 Senate Appropriations Offices of the General Assembly access to
6 department-wide data warehouses and analytics platforms not
7 otherwise available to the General Assembly and necessary to
8 make data-drive decisions. This section shall not be construed
9 to compel the release of protected health information or
10 individually identifiable data.
CCS SS SCS HCS HB 11 90
1 Section 11.3015. To the Department of Social Services
2 In reference to Sections 11.770 and 11.775 of Part 1 and Part 2
3 of this act:
4 Contract changes shall be provided in writing, prior to
5 submission to the Centers for Medicare and Medicaid Services,
6 to the House Budget and Senate Appropriation Committee
7 Chairs.
1 Section 11.3020. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification, prior to
4 submission to the federal government, of state plans and state
5 plan amendments, grant applications, and Medicaid waivers to
6 the House Budget and Senate Appropriation Committee Chairs.
7 The Department shall include in the notification the actual
8 documents submitted to the federal government, as well as the
9 federal government’s responses when received.
1 Section 11.3025. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 In reference to the Alternative Care Trust Fund (0905), the
4 Department shall provide a quarterly accounting of the money to
5 the parents of the child for whose benefit the funds have been
6 received by the Department; to the guardian ad litem; and to the
7 child, if the child is 15 years or older.
1 Section 11.3030. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written documentation of rate
4 setting, rate studies, time surveys, time studies, and random
5 moment time studies, and the federal and state share fiscal impact
6 estimates, including Title IV-E Foster Care eligibility and
7 participation rates to the House Budget and Senate Appropriation
8 Committee Chairs.
1 Section 11.3035. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification and
4 correspondence from the federal government of non-compliance
CCS SS SCS HCS HB 11 91
5 with federal programs or grants to the House Budget and Senate
6 Appropriation Committee Chairs.
1 Section 11.3040. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide copies of financial reports and
4 public assistance cost allocation plans submitted to the federal
5 government and supporting cash on hand reports, by grant, to the
6 House Budget and Senate Appropriation Committee Chairs.
1 Section 11.3045. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide monthly expenditures and
4 projections for Child Welfare programs and Medicaid programs
5 for the current state fiscal year and next state fiscal year to the
6 House Budget and Senate Appropriation Committee Chairs on a
7 monthly basis.
Bill Totals
General Revenue Fund (2,529.82 F.T.E.) ...........................................................$2,620,570,469
Federal Funds (3,849.89 F.T.E.) .........................................................................12,637,724,948
Other Funds (365.84 F.T.E.) ............................................................................... 1,772,145,743
Total (6,745.55 F.T.E.) .....................................................................................$17,030,441,160
Every fact on this page links to its source, starting with the official bill record.