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FIRST REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 14
0014H.03T 103RD GENERAL ASSEMBLY
2025
AN ACT
To appropriate money for supplemental purposes for the expenses, grants, refunds, and
distributions of the several departments and offices of state government, and the several
divisions and programs thereof, and to transfer money among certain funds, to be
expended only as provided in Article IV, Section 28 of the Constitution of Missouri for
the fiscal period ending June 30, 2025.
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, and program described herein for the item or items stated, and
4 for no other purpose whatsoever, chargeable to the fund designated for the period ending June
5 30, 2025, as follows:
PART 1
1 Section 14.000. 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 1.
6 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
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
HCS HB 14 2
13 this act of which said clarification of purpose is a part. Part 3 of
14 this act shall consist of guidance to the Department of Mental
15 Health, the Department of Health and Senior Services, and the
16 Department of Social Services in implementing the
17 appropriations found in Part 1 and Part 2 of this act.
1 Section 14.005. To the Department of Elementary and Secondary
2 Education
3 For refunds
4 From Federal Funds (Various)...................................................................................$2,440,000
1 Section 14.010. To the Department of Elementary and Secondary
2 Education
3 For distributions to the free public schools of $157,443,387 under the
4 School Foundation Program as provided in Chapter 163, RSMo,
5 provided that no funds are used to support the distribution or
6 sharing of any individually identifiable student data for non-
7 educational purposes, marketing, or advertising, as follows:
8 For the Foundation Formula, provided that the State Adequacy Target
9 pursuant to Section 163.011, RSMo, shall not exceed $6,760
10 From General Revenue Fund (1101) .....................................................................$142,443,387
11 For the Small Schools Program
12 From General Revenue Fund (1101) ................................................................... 15,000,000
13 Total .......................................................................................................................$157,443,387
1 Section 14.015. To the Department of Elementary and Secondary
2 Education
3 For State Board of Education operated school programs
4 Expense and Equipment
5 From Elementary and Secondary Education – Federal Fund (1105).........................$3,000,000
1 Section 14.020. To the Department of Elementary and Secondary
2 Education
3 For the Performance Based Assessment Program, provided that
4 no funds are used to support the collection, distribution, or
5 sharing of any individually identifiable student data with the
6 federal government; with the exception of the reporting
7 requirements of the Migrant Education Program funds in Section
HCS HB 14 3
8 2.195, the Vocational Rehabilitation funds in Section 2.265, and
9 the Disability Determination Funds in Section 2.270, and further
10 provided that no funds from this section shall be used for license
11 fees or membership dues for the Smarter Balanced Assessment
12 Consortium
13 From General Revenue Fund (1101) ............................................................................$700,000
14 From Elementary and Secondary Education – Federal Fund (1105)...........................2,059,962
15 From Lottery Proceeds Fund (1291).................................................................... 300,000
16 Total ...........................................................................................................................$3,059,962
1 Section 14.025. To the Department of Elementary and Secondary
2 Education
3 For the Office of College and Career Readiness
4 For distributions to providers of career and technical education programs
5 From Elementary and Secondary Education – Federal Fund (1105).........................$2,701,460
1 Section 14.030. To the Department of Elementary and Secondary
2 Education
3 For the Missouri Healthy Schools, Successful Students Program
4 From Elementary and Secondary Education – Federal Fund (1105)..............................$65,975
1 Section 14.035. To the Department of Elementary and Secondary
2 Education
3 For the Comprehensive Literacy Development Program
4 From Elementary and Secondary Education – Federal Fund (1105).........................$5,800,000
1 Section 14.040. To the Department of Elementary and Secondary
2 Education
3 For the Supporting Effective Instruction Grants Program pursuant to
4 Title II of the Elementary and Secondary Education Act of 1965
5 as amended by the Every Student Succeeds Act of 2015
6 From Elementary and Secondary Education – Federal Fund (1105).........................$6,097,126
1 Section 14.045. To the Department of Elementary and Secondary
2 Education
3 For language acquisition pursuant to Title III of the Elementary and
4 Secondary Education Act of 1965 as amended by the Every
5 Student Succeeds Act of 2015
6 From Elementary and Secondary Education – Federal Fund (1105)............................$263,934
HCS HB 14 4
1 Section 14.050. To the Department of Elementary and Secondary
2 Education
3 For the Vocational Rehabilitation Program
4 From Vocational Rehabilitation Fund (1104)..........................................................$15,532,183
1 Section 14.055. To the Department of Elementary and Secondary
2 Education
3 For the Disability Determination Program
4 From Vocational Rehabilitation Fund (1104)............................................................$3,344,106
1 Section 14.060. To the Department of Elementary and Secondary
2 Education
3 For distributions to educational institutions for the Adult Basic Education
4 Program
5 From Elementary and Secondary Education – Federal Fund (1105).........................$1,553,523
1 Section 14.065. To the Department of Elementary and Secondary
2 Education
3 For the Special Education Program
4 From Elementary and Secondary Education – Federal Fund (1105).......................$26,786,892
1 Section 14.070. To the Department of Elementary and Secondary
2 Education
3 For special education excess costs
4 From General Revenue Fund (1101) .......................................................................$14,705,004
1 Section 14.075. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For the Early Childhood Special Education Program
5 From General Revenue Fund (1101) .......................................................................$20,792,763
1 Section 14.080. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For the early childhood comprehensive system
5 From Elementary and Secondary Education – Federal Fund (1105)............................$537,043
HCS HB 14 5
1 Section 14.085. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For Early Childhood Missouri Scholarships, provided no funds are used
5 for new scholarships
6 From Child Care and Development Block Grant Federal Fund (1168)........................$700,000
1 Section 14.090. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For the First Steps Program
5 From General Revenue Fund (1101) .......................................................................$15,208,574
6 From Elementary and Secondary Education – Federal Fund (1105)................... 1,318,086
7 Total .........................................................................................................................$16,526,660
1 Section 14.093. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For start-up costs related to a new child care program in a city with more
5 than twenty-seven thousand but fewer than thirty thousand
6 inhabitants and located in a county with more than one million
7 inhabitants associated with a not-for-profit law enforcement
8 organization located in a city with more than eight thousand but
9 fewer than nine thousand inhabitants and located in a county with
10 more than one million inhabitants, provided that any grant awards
11 disbursed from this appropriation shall be matched on a 50/50
12 basis by the recipient
13 From General Revenue Fund (1101) .........................................................................$2,200,000
1 Section 14.095. To the Department of Elementary and Secondary
2 Education
3 Funds are to be transferred out of the State Treasury to the Charter
4 School Revolving Capital Improvement Fund
5 From General Revenue Fund (1101) .........................................................................$2,000,000
1 Section 14.100. To the Department of Elementary and Secondary
2 Education
3 For a loan program for new and existing charter schools to support capital
4 improvement projects and acquisitions
HCS HB 14 6
5 From Charter School Revolving Capital Improvement Fund (1533) ........................$2,000,000
1 Section 14.105. To the Department of Higher Education and Workforce
2 Development
3 Funds are to be transferred out of the State Treasury to the Access
4 Missouri Financial Assistance Fund
5 From General Revenue Fund (1101) .........................................................................$6,000,000
1 Section 14.110. To the Department of Higher Education and Workforce
2 Development
3 For the Access Missouri Financial Assistance Program pursuant to
4 Chapter 173, RSMo
5 From Access Missouri Financial Assistance Fund (1791) ........................................$7,400,000
1 Section 14.115. To the Department of Higher Education and Workforce
2 Development
3 For the Fast Track Workforce Incentive Grant Program, provided that
4 any Fast Track Workforce Incentive Grant toward a scholarship
5 at a private four-year institution is limited to not more than the
6 in-state tuition and fees for the University of Missouri-Columbia,
7 and further provided that any Fast Track Workforce Incentive
8 Grant toward a scholarship at a private two-year institution is
9 limited to not more than the in-state tuition, fees, and charges at
10 a most comparable program at any Missouri two-year public
11 community college or the State Technical College of Missouri
12 From Fast Track Workforce Incentive Grant Fund (1488)...........................................$550,000
1 Section 14.120. To the State Technical College of Missouri
2 For the payment of refunds set off against debt as required by Section
3 143.786, RSMo
4 From Debt Offset Escrow Fund (1753) ............................................................................$2,000
1 Section 14.125. To the University of Central Missouri
2 For the payment of refunds set off against debt as required by Section
3 143.786, RSMo
4 From Debt Offset Escrow Fund (1753) ........................................................................$100,000
1 Section 14.130. To Missouri State University
HCS HB 14 7
2 For the payment of refunds set off against debt as required by Section
3 143.786, RSMo
4 From Debt Offset Escrow Fund (1753) ..........................................................................$50,000
1 Section 14.135. To the Department of Revenue
2 For refunds for overpayment or erroneous payment of any tax or any
3 payment credited to the General Revenue Fund
4 From General Revenue Fund (1101) .......................................................................$69,600,000
1 Section 14.140. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund in the amount of sixty-six hundredths
4 percent of the funds received
5 From Parks Sales Tax Fund (1613) ................................................................................$27,423
1 Section 14.145. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund in the amount of sixty-six hundredths
4 percent of the funds received
5 From Soil and Water Sales Tax Fund (1614) .................................................................$27,423
1 Section 14.150. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury, chargeable
3 to the General Revenue Fund, to the State Highways and
4 Transportation Department Fund, for reimbursement of
5 collection expenditures in excess of the three percent (3%) limit
6 established by Article IV, Sections 29, 30(a), 30(b), and 30(c) of
7 the Constitution of Missouri
8 From General Revenue Fund (1101) .........................................................................$4,225,262
1 Section 14.155. To the Department of Revenue
2 For the State Lottery Commission
3 For payments to vendors for costs of the design, manufacture, licensing,
4 leasing, processing, and delivery of games administered by the
5 State Lottery Commission
6 From Lottery Enterprise Fund (1657)........................................................................$1,600,000
1 Section 14.160. To the Department of Revenue
HCS HB 14 8
2 Funds are to be transferred out of the State Treasury to the Lottery
3 Enterprise Fund
4 From State Lottery Fund (1682) ................................................................................$1,600,000
1 Section 14.165. To the Office of Administration
2 For the Information Technology Services Division
3 For the Department of Public Safety
4 Expense and Equipment
5 From Missouri Veterans’ Homes Fund (1460) .............................................................$354,900
1 Section 14.170. To the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 Asset Management
4 For any and all expenditures necessary for funding the operations of the
5 Board of Public Buildings, state-owned and leased office
6 buildings, institutional facilities, laboratories, and support
7 facilities
8 Expense and Equipment
9 From State Facility Maintenance and Operation Fund (1501) ..................................$1,958,288
1 Section 14.175. To the Office of Administration
2 Funds are to be transferred out of the State Treasury to various
3 state agency funds
4 From Proceeds of Surplus Property Sales Fund (1710).............................................$3,000,000
1 Section 14.180. To the Office of Administration
2 For the Division of General Services
3 For rebillable expenses and for the replacement or repair of damaged
4 equipment when recovery is obtained from a third party
5 Expense and Equipment
6 From Office of Administration Revolving Administrative Trust Fund
7 (1505) .............................................................................................................$1,770,000
1 Section 14.185. To the Office of Administration
2 For those services provided through the Office of Administration that are
3 contracted with and reimbursed by the Board of Trustees of the
4 Missouri Public Entity Risk Management Fund as provided by
5 Chapter 537, RSMo
6 Personal Service
HCS HB 14 9
7 From Office of Administration Revolving Administrative Trust Fund
8 (1505) ..................................................................................................................$44,000
1 Section 14.190. To the Office of Administration
2 For the Division of Accounting
3 For payment of the state’s lease/purchase debt requirements
4 From General Revenue Fund (1101) .......................................................................$17,200,000
1 Section 14.195. To the Office of Administration
2 For the Division of Accounting
3 For interest payments on federal grant monies in accordance with the
4 Cash Management Improvement Act of 1990 and 1992, and any
5 other interest or penalties due to the federal government
6 From General Revenue Fund (1101) .........................................................................$4,437,384
1 Section 14.200. To the Office of Administration
2 Funds are to be transferred out of the State Treasury, such
3 amounts as may be necessary for corrections to fund balances
4 From Federal and Other Funds (Various) .....................................................................$750,000
1 Section 14.205. To the Office of Administration
2 For the Division of Accounting
3 For payments to counties for county correctional prosecution
4 reimbursements pursuant to Sections 50.850 and 50.853, RSMo
5 From General Revenue Fund (1101) ..............................................................................$30,000
1 Section 14.210. To the Office of Administration
2 For transferring funds for the state’s contribution to the Missouri
3 Consolidated Health Care Plan to the Missouri Consolidated
4 Health Care Plan Benefit Fund
5 From General Revenue Fund (1101) .......................................................................$10,932,100
1 Section 14.215. To the Office of Administration
2 For the Division of General Services
3 For the provision of workers’ compensation benefits to state employees
4 through either a self-insurance program administered by the
5 Office of Administration and/or by contractual agreement with a
6 private carrier, and for administrative and legal expenses
7 authorized, in part, by Section 105.810, RSMo
HCS HB 14 10
8 From General Revenue Fund (1101) .........................................................................$3,400,000
1 Section 14.220. To the Department of Agriculture
2 For the Office of the Director
3 Personal Service................................................................................................$195,559
4 Expenses and Equipment ......................................................................... 5,909,599
5 From Department of Agriculture Federal Fund (1133) .............................................$6,105,158
1 Section 14.222. To the Department of Agriculture
2 For the Division of Animal Health, provided five percent (5%) flexibility
3 is allowed between personal service and expense and equipment
4 Personal Service..................................................................................................$11,362
5 Expense and Equipment........................................................................... 15,094
6 From General Revenue Fund (1101) (Not to exceed 0.25 F.T.E.) .................................$26,456
1 Section 14.225. To the Department of Natural Resources
2 For water infrastructure grants and loans
3 From Water and Wastewater Loan Revolving Fund (1602)..................................$144,865,833
1 Section 14.230. To the Department of Economic Development
2 Funds are to be transferred out of the State Treasury, such
3 amounts generated by redevelopment projects, as required by
4 Section 99.1092, RSMo, to the Downtown Revitalization
5 Preservation Fund
6 From General Revenue Fund (1101) ............................................................................$204,185
1 Section 14.235. To the Department of Economic Development
2 For the Downtown Revitalization Preservation Program as provided in
3 Sections 99.1080 to 99.1092, RSMo
4 From Downtown Revitalization Preservation Fund (1907)..........................................$215,000
1 Section 14.240. To the Department of Public Safety
2 For the Office of the Director
3 Funds are to be transferred out of the State Treasury to the
4 Department of Public Safety Federal Fund
5 From Coronavirus Emergency Supplemental Fund (1179) ..............................................$6,100
1 Section 14.245. To the Department of Public Safety
2 For the Office of the Director
HCS HB 14 11
3 For law enforcement training in accordance with 8 U.S.C. Section
4 1357(g) relating to immigration enforcement
5 From General Revenue Fund (1101) ............................................................................$250,000
1 Section 14.250. To the Department of Public Safety
2 For the National Forensic Sciences Improvement Act Program
3 From Department of Public Safety Federal Fund (1152) .............................................$140,000
1 Section 14.255. To the Department of Public Safety
2 For the State Highway Patrol
3 For Administration
4 Expense and Equipment
5 From Gaming Commission Fund (1286) .............................................................................$910
1 Section 14.260. To the Department of Public Safety
2 For the State Highway Patrol
3 For the Enforcement Program
4 Personal Service
5 From General Revenue Fund (1101) ............................................................................$187,500
6 Expense and Equipment
7 From Gaming Commission Fund (1286) ............................................................. 27,906
8 Total (Not to exceed 2.25 F.T.E.) .................................................................................$215,406
1 Section 14.265. To the Department of Public Safety
2 For the State Highway Patrol
3 For gasoline expenses for State Highway Patrol vehicles, including
4 aircraft and Gaming Commission vehicles
5 Expense and Equipment
6 From Gaming Commission Fund (1286) ........................................................................$10,888
1 Section 14.270. To the Department of Public Safety
2 For the State Highway Patrol
3 For purchase of vehicles, aircraft, and watercraft for the State Highway
4 Patrol and the Gaming Commission in accordance with Section
5 43.265, RSMo
6 Expense and Equipment
7 From Gaming Commission Fund (1286) ........................................................................$97,814
HCS HB 14 12
1 Section 14.275. To the Department of Public Safety
2 For the State Highway Patrol
3 For the Law Enforcement Academy
4 Expense and Equipment
5 From Gaming Commission Fund (1286) ........................................................................$40,945
1 Section 14.280. To the Department of Public Safety
2 For the State Highway Patrol
3 For Technical Services
4 Expense and Equipment
5 From Gaming Commission Fund (1286) ..........................................................................$4,359
1 Section 14.285. To the Department of Public Safety
2 Funds are to be transferred out of the State Treasury to the
3 Missouri Veterans’ Homes Fund
4 From Veterans Reinvestment Fund (1611)..............................................................$11,681,984
1 Section 14.290. To the Department of Public Safety
2 For the Gaming Commission
3 For the Divisions of Gaming and Bingo
4 Personal Service
5 From Gaming Commission Fund (1286) (Not to exceed 2.00 F.T.E.) .........................$203,623
1 Section 14.295. To the Department of Public Safety
2 For the Gaming Commission
3 For fringe benefits, including retirement contributions for members of
4 the Missouri Department of Transportation and Highway Patrol
5 Employees’ Retirement System, and insurance premiums for
6 State Highway Patrol employees assigned to work under the
7 direction of the Gaming Commission
8 Expense and Equipment
9 From Gaming Commission Fund (1286) ......................................................................$185,134
1 Section 14.300. To the Department of Corrections
2 For the Division of Offender Rehabilitative Services
3 For contractual services for offender physical and mental health care
4 Expense and Equipment
5 From General Revenue Fund (1101) .......................................................................$20,638,985
HCS HB 14 13
1 Section 14.305. To the Department of Corrections
2 For the Division of Offender Rehabilitative Services
3 For substance use and recovery services
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$733,850
6 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 1,234,432
7 Total ...........................................................................................................................$1,968,282
1 Section 14.310. To the Department of Corrections
2 For the Division of Offender Rehabilitative Services
3 For toxicology testing
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$242,432
1 Section 14.315. To the Department of Corrections
2 For the Division of Offender Rehabilitative Services
3 For Missouri Correctional Enterprises
4 Expense and Equipment
5 From Working Capital Revolving Fund (1510).........................................................$6,000,000
1 Section 14.320. To the Department of Corrections
2 For the Division of Probation and Parole
3 For transfers and refunds set-off against debts as required by Section
4 143.786, RSMo
5 From Debt Offset Escrow Fund (1753) .....................................................................$1,400,000
1 Section 14.325. To the Department of Corrections
2 For operating safety and security equipment and services
3 From General Revenue Fund (1101) .........................................................................$3,900,000
1 Section 14.330. To the Department of Mental Health
2 For the Office of the Director
3 For paying overtime to state employees. Nonexempt state employees
4 identified by Section 105.935, RSMo, will be paid first with any
5 remaining funds being used to pay overtime to any other state
6 employees
7 Personal Service
8 From General Revenue Fund (1101) .......................................................................$27,083,399
9 From Department of Mental Health Federal Fund (1148)................................... 1,948,080
HCS HB 14 14
10 Total .........................................................................................................................$29,031,479
1 Section 14.335. To the Department of Mental Health
2 For the Office of the Director
3 For program operations and support
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$689,201
1 Section 14.340. To the Department of Mental Health
2 For the Office of the Director
3 For refunds
4 From Department of Mental Health Federal Stimulus Fund (2345).................................$5,000
1 Section 14.345. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the Mental
3 Health Trust Fund
4 From Abandoned Fund Account (1863) .........................................................................$50,000
1 Section 14.350. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 Department of Social Services Intergovernmental Transfer Fund
4 for providing the state match for the Department of Mental
5 Health payments
6 From General Revenue Fund (1101) .......................................................................$54,794,044
1 Section 14.355. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund to provide the state match for the
4 Department of Mental Health Payments
5 From Department of Mental Health Federal Fund (1148).......................................$60,542,828
1 Section 14.360. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For community grants to local governments impacted by the opioid
4 epidemic
5 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$856,000
1 Section 14.365. To the Department of Mental Health
2 For the Division of Behavioral Health
HCS HB 14 15
3 For treatment of alcohol and drug abuse
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$3,103,559
6 From Department of Mental Health Federal Fund (1148)...........................................3,666,445
7 For treatment of adult psychiatric services
8 Expense and Equipment
9 From General Revenue Fund (1101) ................................................................... 32,715
10 Total ...........................................................................................................................$6,802,719
1 Section 14.370. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For reimbursing attorneys, physicians, and counties for fees in
4 involuntary civil commitment procedures
5 Expense and Equipment
6 From General Revenue Fund (1101) ............................................................................$873,077
1 Section 14.375. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For youth psychiatric services and community programs
4 Expense and Equipment
5 From General Revenue Fund (1101) .......................................................................$15,571,301
6 From Department of Mental Health Federal Fund (1148).........................................16,618,104
7 From Title XXI-Children’s Health Insurance Program Federal
8 Fund (1159).............................................................................................. 15,298,683
9 Total .........................................................................................................................$47,488,088
1 Section 14.380. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Fulton State Hospital
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$575,615
1 Section 14.385. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Northwest Missouri Psychiatric Rehabilitation Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$652,547
HCS HB 14 16
1 Section 14.390. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Forensic Treatment Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$554,724
1 Section 14.395. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Southeast Missouri Mental Health Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$343,258
1 Section 14.400. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Center for Behavioral Medicine
4 Expense and Equipment
5 From General Revenue Fund (1101) ..............................................................................$94,656
1 Section 14.405. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 Provided residential services for non-Medicaid eligibles shall not
4 be reduced below the prior year expenditures as long as the
5 person is evaluated to need the services
6 For community programs, including long-term care transformation
7 initiatives and efforts for reimbursement of providers based on
8 integration of key identified outcomes that produce value-based
9 care delivery models to improve quality and efficiency of the
10 total care delivered to individuals
11 From General Revenue Fund (1101) .........................................................................$9,605,393
12 From Department of Mental Health Federal Fund (1148).......................................128,508,017
13 From Title XXI-Children’s Health Insurance Program Federal
14 Fund (1159)......................................................................................................2,854,967
15 For services for children who are clients of the Department of Social
16 Services
17 From Mental Health Interagency Payments Fund (1109).................................... 2,674,898
18 Total .......................................................................................................................$143,643,275
1 Section 14.410. To the Department of Mental Health
HCS HB 14 17
2 For the Division Developmental Disabilities
3 For the Bellefontaine Habilitation Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ................................................................................$4,863
1 Section 14.415. To the Department of Mental Health
2 For the Division Developmental Disabilities
3 For the Higginsville Habilitation Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ................................................................................$9,458
1 Section 14.420. To the Department of Mental Health
2 For the Division Developmental Disabilities
3 For Southeast Missouri Residential Services
4 Expense and Equipment
5 From General Revenue Fund (1101) ................................................................................$9,917
1 Section 14.425. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For communicable disease control and prevention
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$907,331
6 From Title XXI-Children’s Health Insurance Program Federal
7 Fund (1159).............................................................................................. 1,760,553
8 Total ...........................................................................................................................$2,667,884
1 Section 14.430. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For community health and wellness initiatives
4 Personal Service..................................................................................................$34,920
5 Expense and Equipment........................................................................... 131,223
6 From Department of Health and Senior Services Federal Fund (1143) .......................$166,143
1 Section 14.435. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Community and Public Health administration
4 Personal Service
5 From Department of Health and Senior Services Federal Fund (1143) .........................$59,008
HCS HB 14 18
1 Section 14.445. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For environmental public health
4 Expense and Equipment
5 From Department of Health and Senior Services Federal Fund (1143) .......................$225,000
1 Section 14.450. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For health informatics and epidemiology
4 Expense and Equipment
5 From Department of Health and Senior Services Federal Fund (1143) .......................$125,000
1 Section 14.455. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Local Public Health Agency Support
4 Personal Service..................................................................................................$64,824
5 Expense and Equipment........................................................................... 15,152
6 From Department of Health and Senior Services Federal Fund (1143) .........................$79,976
1 Section 14.460. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury to the State
3 Board of Nursing Fund
4 From Professional and Practical Nursing Student Loan and Nurse Loan
5 Repayment Fund (1565) ...................................................................................$530,636
1 Section 14.465. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For family planning and family planning-related services, pregnancy
4 testing, sexually transmitted disease testing and treatment,
5 including pap tests and pelvic exams, and follow-up services,
6 provided that none of the funds appropriated herein may be paid,
7 granted to, or expended to directly or indirectly fund procedures
8 or administrative functions of any clinic, physician's office, or
9 any other place or facility in which abortions are performed or
10 induced other than a hospital, or any affiliate of any such clinic,
11 physician's office, or place or facility in which abortions are
12 performed or induced other than a hospital, or for performing,
13 inducing, or assisting in the performance or inducing of an
14 abortion which is not necessary to save the life of the mother, for
HCS HB 14 19
15 encouraging a patient to have an abortion or referring a patient
16 for an abortion which is not necessary to save the life of the
17 mother, or developing or dispensing drugs, chemicals, or devices
18 intended to be used to induce an abortion which is not necessary
19 to save the life of the mother. Such services shall be available to
20 uninsured women who are at least eighteen (18) to fifty-five (55)
21 years of age with a family Modified Adjusted Gross Income for
22 the household size that does not exceed two hundred and one
23 percent (201%) of the Federal Poverty Level (FPL) and who is a
24 legal resident of the state
25 From General Revenue Fund (1101) ............................................................................$545,028
1 Section 14.470. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 To provide COVID-19 mitigation and prevention efforts,
4 including, but not limited to, testing, vaccinations, reporting, and
5 public health workforce enhancement
6 Personal Service
7 From Department of Health and Senior Services Federal Stimulus –2021
8 Fund (2457).......................................................................................................$492,928
1 Section 14.475. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For providing consumer directed personal care assistance services at a
4 rate not to exceed sixty percent (60%) of the average monthly
5 Medicaid cost of nursing facility care, including payments to
6 providers for value-based payments initiatives, provided ten
7 percent (10%) flexibility is allowed between this section and
8 Section 14.480 to allow flexibility within the Medicaid Home and
9 Community-Based Services Program
10 Expense and Equipment
11 From Department of Health and Senior Services Federal Fund (1143) ..................$49,904,672
1 Section 14.480. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For respite care, homemaker chore, personal care, assistive technology,
4 adult day care, AIDS, children's waiver services, home-delivered
5 meals, Programs of All Inclusive Care for the Elderly, the
HCS HB 14 20
6 Structured Family Caregiver Waiver, Brain Injury Waiver, other
7 related services, and program management under the Medicaid
8 fee-for-service and managed care programs, including payments
9 to providers for value-based payment initiatives. Provided that
10 individuals eligible for or receiving nursing home care must be
11 given the opportunity to have those Medicaid dollars follow them
12 to the community to the extent necessary to meet their unmet
13 needs as determined by 19 CSR 30 81.030; and further be
14 allowed to choose the personal care program option, including
15 the option of assistive technology, in the community that best
16 meets the individuals' unmet needs, provided ten percent (10%)
17 flexibility is allowed between this section and Section 14.475 to
18 allow flexibility within the Medicaid Home and Community
19 Based Services Program, and further provided that individuals
20 eligible for the Medicaid Personal Care Option must be allowed
21 to choose, from among all the program options, that option which
22 best meets their unmet needs as determined by 19 CSR 30 81.030,
23 and also be allowed to have their Medicaid funds follow them to
24 the extent necessary to meet their unmet needs whichever option
25 they choose. This language does not create any entitlements not
26 established by statute
27 Expense and Equipment
28 From Department of Health and Senior Services Federal Fund (1143) ..................$45,228,323
1 Section 14.485. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For Home and Community Services grants to be distributed to the Area
4 Agencies on Aging
5 From Department of Health and Senior Services Federal Fund (1143) ..................$14,000,000
1 Section 14.490. To the Department of Health and Senior Services
2 For the Division of Cannabis Regulation
3 For grants to agencies and not-for-profit organizations, whether
4 government or community-based, to increase access to evidence-
5 based low-barrier drug addiction treatment, prioritizing
6 medically proven treatment and overdose prevention and reversal
7 methods and public or private treatment options with an emphasis
8 on reintegrating recipients into their local communities; to
9 support overdose prevention education; and to support job
HCS HB 14 21
10 placement, housing, and counseling for those with substance use
11 disorders. When evaluating grant applications, agencies and
12 organizations serving populations with the highest rates of drug-
13 related overdoses shall be prioritized to receive the grants
14 From Health Reinvestment Fund (1640) .................................................................$11,681,984
1 Section 14.495. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for health
3 and care services for military veterans as provided by Article
4 XIV, Section 2 of the Missouri Constitution, to the Veterans
5 Reinvestment Fund, provided the state treasurer shall invest
6 monies in the fund in the same manner as other funds are
7 invested, and any interest and monies earned on such investments
8 shall be deposited to the credit of the Veterans Reinvestment
9 Fund, and further provided that any monies remaining in the
10 Veterans Reinvestment Fund at the end of a biennium shall not
11 revert to the credit of the General Revenue Fund
12 From Veterans, Health, and Community Reinvestment Fund (1608) .....................$11,681,984
13 Funds are to be transferred out of the State Treasury for substance
14 abuse disorder treatment and education programs as provided by
15 Article XIV, Section 2 of the Missouri Constitution, to the Health
16 Reinvestment Fund, provided the state treasurer shall invest
17 monies in the fund in the same manner as other funds are
18 invested, and any interest and monies earned on such investments
19 shall be deposited to the credit of the Health Reinvestment Fund,
20 and further provided that any monies remaining in the Health
21 Reinvestment Fund at the end of a biennium shall not revert to
22 the credit of the General Revenue Fund
23 From Veterans, Health, and Community Reinvestment Fund (1608) ................. 11,681,984
24 Total .........................................................................................................................$23,363,968
1 Section 14.500. 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) .......................................$3,696,301
1 Section 14.505. To the Department of Social Services
2 For the Office of the Director
HCS HB 14 22
3 For the Missouri Medicaid Audit and Compliance Unit
4 For a case management, provider enrollment, and fraud abuse and
5 detection system
6 Expense and Equipment
7 From Department of Social Services Federal Fund (1610) .......................................$1,287,721
1 Section 14.510. 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
6 From Department of Social Services Federal Stimulus Fund (2355) ...........................$542,262
7 From Department of Social Services Federal Stimulus – 2021
8 Fund (2456).............................................................................................. 10,698
9 Total ..............................................................................................................................$552,960
1 Section 14.515. To the Department of Social Services
2 For the Family Support Division
3 For the income maintenance field staff and operations
4 Expense and Equipment....................................................................................$951,567
5 Program Distribution ............................................................................... 1,870,500
6 From General Revenue Fund (1101) ...........................................................................2,822,067
7 Expense and Equipment...................................................................................1,291,050
8 Program Distribution ............................................................................... 2,479,500
9 From Department of Social Services Federal Fund (1610) ................................. 3,770,550
10 Total ...........................................................................................................................$6,592,617
1 Section 14.521. 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) ...................................$103,000,000
1 Section 14.525. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri Eligibility Determination and Enrollment System
4 (MEDES)
HCS HB 14 23
5 For the design, development, implementation, maintenance and
6 operation costs for the Medicaid and Children’s Health Insurance
7 Program (CHIP) eligibility categories under the Modified
8 Adjusted Gross Income (MAGI) based methodology
9 Expense and Equipment, excluding employee administrative
10 costs
11 From Department of Social Services Federal Fund (1610) .......................................$3,994,400
12 For the expenses related to the enterprise content management (ECM)
13 system
14 Expense and Equipment, excluding employee administrative
15 costs
16 From General Revenue Fund (1101) ..............................................................................370,830
17 From Department of Social Services Federal Fund (1610) ................................. 1,083,557
18 Total ...........................................................................................................................$5,448,787
1 Section 14.530. 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) .......................$330,500
1 Section 14.535. 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) .......................................$1,500,000
1 Section 14.540. 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
5 For placements in a Qualified Residential Treatment Program/non-
6 Institution for Mental Disease (QRTP/non-IMD) designated
7 facilities
8 From General Revenue Fund (1101) .........................................................................$4,923,994
HCS HB 14 24
9 From Department of Social Services Federal Fund (1610) ................................. 1,705,063
10 Total ...........................................................................................................................$6,629,057
1 Section 14.545. 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) .......................................$3,000,000
7 From Third Party Liability Collections Fund (1120)........................................... 3,000,000
8 Total ...........................................................................................................................$6,000,000
1 Section 14.550. 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
5 From Department of Social Services Federal Fund (1610) .....................................$30,973,162
1 Section 14.555. To the Department of Social Services
2 For the MO HealthNet Division
3 For payment of physician and related services to Certified Community
4 Behavioral Health Organizations (CCBHO), provided that
5 Applied Behavioral Analysis (ABA) services are included in the
6 CCBHO Prospective Payment System
7 From General Revenue Fund (1101) .......................................................................$31,823,390
8 From Title XIX - Federal Fund (1163) ................................................................ 69,281,168
9 Total .......................................................................................................................$101,104,558
1 Section 14.560. 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
HCS HB 14 25
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 Section
23 14.565
24 From Title XXI Children’s Health Insurance Program Federal Fund
25 (1159) .........................................................................................................$106,016,819
1 Section 14.565. 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
5 allowed between this section and Section 14.560
6 From Title XXI Children’s Health Insurance Program Federal Fund
7 (1159) ...........................................................................................................$20,427,954
1 Section 14.570. 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 FMAP Enhancement - Expansion Fund (2466) .............................................$22,819,849
6 From Title XIX - Adult Expansion Federal Fund (1358) ........................................611,969,963
7 From Pharmacy Reimbursement Allowance Fund (1144) .............................................312,940
8 From Nursing Facility Reimbursement Allowance Fund (1196) ...................................710,333
9 From Federal Reimbursement Allowance Fund (1142) ..............................................8,121,406
10 For Supplemental payments to Tier 1 Safety Net Hospitals, or to any
11 affiliated physician group that provides physicians for any Tier 1
12 Safety Net Hospital, for physician and other healthcare
13 professional services as approved by the Centers for Medicare
14 and Medicaid Services
15 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................28,970,058
HCS HB 14 26
16 From Department of Social Services Intergovernmental Transfer
17 Fund (1139)......................................................................................................3,218,895
18 For payments to the Department of Mental Health for Community
19 Psychiatric Rehabilitation (CPR) services, Comprehensive
20 Substance Abuse Treatment and Rehabilitation (CSTAR)
21 services, Targeted Case Management (TCM) for behavioral
22 health services, and Certified Community Behavioral Health
23 Organizations (CCBHO) for MO HealthNet participants and the
24 uninsured
25 From Title XIX - Adult Expansion Federal Fund (1358) ........................................132,796,689
26 From Department of Social Services Intergovernmental Transfer
27 Fund (1139).............................................................................................. 15,199,632
28 Total .......................................................................................................................$824,119,765
1 Section 14.575. 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) ..................................................................$111,849,493
11 From Intergovernmental Transfer Fund (1139) ................................................... 52,971,449
12 Total .......................................................................................................................$164,820,942
1 Section 14.577. To the Lieutenant Governor
2 For the Missouri State Council on the Arts
3 Expense and Equipment
4 From Missouri Arts Council Trust Fund (1262)........................................................$3,000,000
5 For grants to public television and radio stations as provided in Section
6 143.183, RSMo
7 From Missouri Public Broadcasting Corporation Special Fund (1887) .............. 250,000
8 Total ...........................................................................................................................$3,250,000
1 Section 14.585. To the Office of Administration
HCS HB 14 27
2 For the Division of Facilities Management, Design and Construction
3 For the payment of real property leases, utilities, systems furniture, and
4 structural modifications
5 For the Office of Administration
6 Expense and Equipment
7 From General Revenue Fund (1101) .........................................................................$1,869,172
8 For the Department of Public Safety
9 For the State Highway Patrol
10 Expense and Equipment
11 From State Highways and Transportation Department Fund (1644)................... 89,116
12 Total ...........................................................................................................................$1,958,288
1 Section 14.590. To the Office of Administration
2 For the Department of Mental Health
3 For the construction of a 200-bed mental health hospital in conjunction
4 with a non-state governmental acute care hospital operating
5 inpatient behavioral health beds in a state-owned facility
6 From Federal Earnings Fund (1558)........................................................................$48,159,575
1 Section 14.595. To the Office of Administration
2 Funds are to be transferred out of the State Treasury to the
3 Facilities Maintenance Reserve Fund
4 From General Revenue Fund (1101) .........................................................................$3,658,083
PART 2
1 Section 14.2010. To the Department of Higher Education and
2 Workforce Development and public institutions of higher
3 education
4 In reference to all sections in Part 1 of this act:
5 No funds shall be expended at public institutions of higher
6 education that offer a tuition rate to any student with an unlawful
7 immigration status in the United States that is less than the tuition
8 rate charged to international students.
1 Section 14.2015. To the Department of Higher Education and Workforce
2 Development and public institutions of higher education
3 In reference to all sections in Part 1 of this act:
HCS HB 14 28
4 No scholarship funds shall be expended on behalf of students
5 with an unlawful immigration status in the United States
1 Section 14.2020. To the Department of Natural Resources
2 In reference to Section 14.225 of Part 1 of this act:
3 No funds shall be expended on land purchases for which the
4 Department of Natural Resources did not provide notice to the
5 General Assembly, in writing, at least sixty (60) days prior to the
6 purchase.
1 Section 14.2025. To the Department of Natural Resources
2 In reference to Section 14.225 of Part 1 of this act:
3 No funds shall be spent to implement or enforce any portion of
4 the rule proposed by the United States Army Corps of Engineers
5 and the United States Environmental Protection Agency on June
6 29, 2015, 80 Federal Register 37054, known as the 2015
7 “WOTUS” rule, that purported to revise the regulatory definition
8 of “waters of the United States” or “navigable waters” under the
9 federal Clean Water Act, as amended, 33 U.S.C. Section 1251, et
10 seq., without the approval of the General Assembly.
1 Section 14.2030. To the Department of Natural Resources
2 In reference to Section 14.225 of Part 1 of this act:
3 No funds shall be spent to implement or enforce any portion of
4 the federal Environmental Protection Agency’s “Carbon
5 Pollution Emission Guidelines for Existing Stationary Sources:
6 Electric Utility Generating Units,” 80 Fed. Reg. 64,662 (October
7 23, 2015).
1 Section 14.2035. To the Department of Natural Resources
2 In reference to Section 14.225 of Part 1 of this act:
3 No funds shall be used for the maintenance, rehabilitation,
4 restoration, and repair of the Missouri Rock Island Trail Corridor
5 that runs from Windsor to Beaufort, Missouri on private land in
6 which the trail runs through or outside of any city, town, or
7 village limits.
1 Section 14.2040. To the Department of Public Safety
2 In reference to all sections in Part 1 of this act:
HCS HB 14 29
3 No funds shall be spent for any flight on a state aircraft where an
4 elected official will be on board without a flight plan being made
5 publicly available via a global aviation data services organization
6 that operates both a website and mobile application which
7 provides free flight tracking of both private and commercial
8 aircraft.
1 Section 14.2045. To the Department of Mental Health
2 In reference to Sections 14.360, 14.365, and 14.375 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2024, with the
6 exception of Certified Community Behavioral Health Clinics, for
7 which no funds shall be expended in furtherance of a Medicare
8 Economic Index rate increase of 2.86% greater than the rate in
9 effect on January 1, 2024, with the exception of revenue
10 maximization initiatives.
1 Section 14.2050. To the Department of Mental Health
2 In reference to Sections 14.360, 14.365, and 14.375 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2024, with the
6 exception of cost-based and actuarially sound rate changes for
7 Comprehensive Substance Treatment and Rehabilitation
8 (CSTAR); providers of children’s residential services classified
9 as an Institution of Mental Disease (IMD) Qualified Residential
10 Treatment Program (QRTP) or as a non-IMD QRTP, for which
11 no funds shall be expended in furtherance of rates greater than:
12 $194.47 per day for Level II, $239.16 per day for Level III,
13 $253.80 per day for Level IV.
1 Section 14.2055. To the Department of Mental Health
2 In reference to Sections 14.360 and 14.365 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2024, with the
5 exception of Recovery Support Services, for which no funds shall
6 be expended in furtherance of rates greater than: $34.46 for
7 Individual Counseling, $44.57 for Recovery Housing, $12.60 for
HCS HB 14 30
8 Care Coordination, $22.15 for Peer Support, and $4.08 for Group
9 Rehabilitative Support.
1 Section 14.2060. To the Department of Health and Senior Services
2 In reference to Sections 14.475 and 14.480 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2024, except Private
5 Duty Nursing rates for which no funds shall be expended in
6 furtherance of provider rates for Private Duty Nursing greater
7 than a rate of $15.20 per fifteen-minute unit of service, and
8 further excepting provider reassessment services rates, for which
9 no funds shall be expended in furtherance of rates greater than
10 $100 per assessment, unless such provider is enrolled in the
11 Value Based Purchasing Reassessment Program.
1 Section 14.2065. To the Department of Social Services
2 In reference to Section 14.540 of Part 1 of this act:
3 No funds shall be expended in furtherance of QRTP/non-IMD
4 and QRTP/IMD rates greater than: $194.47 per day for Level II,
5 $239.16 per day for Level III, $253.80 per day for Level IV.
1 Section 14.2070. To the Department of Social Services
2 In reference to Section 14.540 of Part 1 of this act:
3 Expenses for children placed in a residential treatment facility
4 shall be covered for placements ordered by the court and not
5 recommended by an independent assessor.
1 Section 14.2075. To the Department of Social Services
2 In reference to Section 14.555 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, 2024, and further
11 excepting independent lab rates, for which no funds shall be
12 expended in furtherance of 90% of the calendar year 2023
HCS HB 14 31
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.
1 Section 14.2080. To the Department of Social Services
2 In reference to all sections except for Section 14.570 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 14.3050. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in of Part 1 of this act:
4 The Departments shall provide written documentation of rate
5 setting reports, rate studies, time surveys, time studies, and
6 random moment time studies; and the federal and state share
7 fiscal impact estimates, to the House Budget and Senate
8 Appropriation Committee Chairs.
1 Section 14.3055. To the Department of Social Services
2 In reference to Section 14.550 of Part 1 and Part 2 of this act:
3 The Department shall provide the House Appropriations and
4 Senate Appropriations Offices of the General Assembly access to
5 department-wide data warehouses and analytics platforms not
6 otherwise available to the General Assembly and necessary to
7 make data-driven decisions. This section shall not be construed
8 to compel the release of protected health information or
9 individually identifiable data.
1 Section 14.3060. 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.
HCS HB 14 32
1 Section 14.3065. 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 (1905), 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 or older.
1 Section 14.3070. 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 14.3075. 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
5 with federal programs or grants to the House Budget and Senate
6 Appropriation Committee Chairs.
1 Section 14.3080. 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 14.3085. 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.
HCS HB 14 33
Bill Totals
General Revenue Fund (2.50 F.T.E.) .....................................................................$391,581,460
Federal Funds........................................................................................................1,415,431,686
Other Funds (2.00 F.T.E) ..................................................................................... 183,467,418
Total (4.50 F.T.E.) ..............................................................................................$1,990,480,564
Every fact on this page links to its source, starting with the official bill record.