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SECOND 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. 2010
2010H.06T 103RD GENERAL ASSEMBLY
2026
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Mental Health, the Department of Health and Senior Services, and the several divisions
and programs thereof, and the Missouri Health Facilities Review Committee to be
expended only as provided in Article IV, Section 28 of the Constitution of Missouri,
and to transfer money among certain funds for the period beginning July 1, 2026, and
ending June 30, 2027.
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, 2026, and ending June 30, 2027, as follows:
PART 1
1 Section 10.000. 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
CCS SS SCS HCS HB 2010 2
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 2
10 of this act shall not be severed from Part 1, and if any clarification
11 of purpose in Part 2 is for any reason held to be invalid, such
12 decision shall invalidate all of the appropriations in this act of
13 which said clarification of purpose is a part. Part 3 of this act shall
14 consist of guidance to the Department of Mental Health and the
15 Department of Health and Senior Services in implementing the
16 appropriations found in Part 1 and Part 2 of this act. An
17 appropriation may be comprised in whole or in part of a one-time
18 amount, and such one-time amount shall be construed to be a
19 component part of, and not in addition to, the stated appropriation
20 amount. Any amount of an appropriation identified as “one-
21 time” in this act shall not be considered an addition to any
22 ongoing core appropriation(s) in future fiscal periods beyond
23 June 30, 2027. Any amount identified as one-time may, however,
24 be requested in any future fiscal period as a new decision item.
1 Section 10.005. To the Department of Mental Health
2 For the Office of the Director, provided three percent (3%) flexibility is
3 allowed from this section to Section 10.575
4 Personal Service................................................................................................$652,333
5 Expense and Equipment........................................................................... 18,762
6 From General Revenue Fund (1101) ..............................................................................671,095
7 Personal Service..................................................................................................105,698
8 Expense and Equipment........................................................................... 53,805
9 From Department of Mental Health Federal Fund (1148)................................... 159,503
10 Total (Not to exceed 7.82 F.T.E.) .................................................................................$830,598
1 Section 10.006. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the OA
3 Information Technology Federal Fund
4 From Department of Mental Health Federal Fund (1148).........................................$4,833,639
1 Section 10.020. To the Department of Mental Health
2 For the Office of the Director
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3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 Personal Service.............................................................................................$6,518,909
6 Expense and Equipment........................................................................... 305,736
7 From General Revenue Fund (1101) ...........................................................................6,824,645
8 Personal Service...............................................................................................1,317,826
9 Expense and Equipment........................................................................... 794,441
10 From Department of Mental Health Federal Fund (1148)...........................................2,112,267
11 To procure and implement a multi-year, vendor-hosted,
12 integrated commercial off the shelf electronic health record
13 system for use in all of the department's hospitals and facilities
14 Personal Service..................................................................................................648,233
15 Expense and Equipment........................................................................... 3,490,054
16 From General Revenue Fund (1101) ................................................................... 4,138,287
17 Total (Not to exceed 126.55 F.T.E.) ........................................................................$13,075,199
1 Section 10.025. To the Department of Mental Health
2 For the Office of the Director
3 For staff training, provided ten percent (10%) flexibility is allowed from
4 personal service to expense and equipment and three percent
5 (3%) flexibility is allowed from this section to Section 10.575
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$659,140
8 Personal Service..................................................................................................231,677
9 Expense and Equipment........................................................................... 290,481
10 From Department of Mental Health Federal Fund (1148)..............................................522,158
11 For the Caring for Missourians' Mental Health Initiative
12 Expense and Equipment
13 From Department of Mental Health Federal Fund (1148)................................... 551,705
14 Total ...........................................................................................................................$1,733,003
1 Section 10.030. To the Department of Mental Health
2 For the Office of the Director
3 For Employee Support Resources
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4 For support services to DMH state operated facilities and office staff
5 Personal Service................................................................................................$396,636
6 Expense and Equipment........................................................................... 1,269,650
7 From Department of Mental Health Federal Fund (1148) (Not to exceed
8 5.00 F.T.E.) ....................................................................................................$1,666,286
1 Section 10.035. To the Department of Mental Health
2 For the Office of the Director
3 For funding insurance, private pay, licensure fee, and/or Medicaid
4 refunds by state facilities operated by the Department of Mental
5 Health
6 From General Revenue Fund (1101) ............................................................................$205,000
7 For refunds
8 From Department of Mental Health Federal Fund (1148)..............................................500,000
9 From Mental Health Interagency Payments Fund (1109)......................................................100
10 From Mental Health Intergovernmental Transfer Fund (1147) .............................................100
11 From Compulsive Gamblers Fund (1249) .............................................................................100
12 From Health Initiatives Fund (1275) .....................................................................................100
13 From Mental Health Earnings Fund (1288)......................................................................50,000
14 From Habilitation Center Room and Board Fund (1435) .................................................10,000
15 From Inmate Fund (1540) ......................................................................................................100
16 From Mental Health Trust Fund (1926)............................................................................25,000
17 From DMH Local Tax Matching Fund (1930) ...............................................................150,000
18 For the transfer payment of refunds set off against debts as required by
19 Section 143.786, RSMo
20 From Debt Offset Escrow Fund (1753) ............................................................... 25,000
21 Total ..............................................................................................................................$965,500
1 Section 10.040. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the Mental
3 Health Trust Fund
4 From Abandoned Fund Account (1863) .......................................................................$150,000
1 Section 10.045. To the Department of Mental Health
2 For the Office of the Director
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3 For receipt and disbursement of donations and gifts which may become
4 available to the Department of Mental Health during the year
5 (excluding federal grants and funds)
6 Personal Service................................................................................................$587,347
7 Expense and Equipment........................................................................... 925,000
8 From Mental Health Trust Fund (1926) (Not to exceed 7.50 F.T.E.)........................$1,512,347
1 Section 10.050. To the Department of Mental Health
2 For the Office of the Director
3 For receiving and expending grants, donations, contracts, and payments
4 from private, federal, and other governmental agencies which
5 may become available between sessions of the General Assembly
6 provided the General Assembly shall be notified of the source of
7 any new funds and the purpose for which they shall be expended,
8 in writing, prior to the use of said funds
9 Personal Service................................................................................................$156,157
10 Expense and Equipment........................................................................... 1,462,390
11 From Department of Mental Health Federal Fund (1148) (Not to exceed
12 2.00 F.T.E.) ....................................................................................................$1,618,547
1 Section 10.055. To the Department of Mental Health
2 For Medicaid payments related to intergovernmental payments
3 From Department of Mental Health Federal Fund (1148).......................................$11,900,000
4 From Mental Health Intergovernmental Transfer Fund (1147) ........................... 6,600,000
5 Total .........................................................................................................................$18,500,000
1 Section 10.060. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 Department of Social Services Intergovernmental Transfer Fund
4 for providing the state match for the Department of Mental
5 Health payments
6 From General Revenue Fund (1101) .....................................................................$399,487,368
1 Section 10.065. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund to provide the state match for the
4 Department of Mental Health payments
5 From Department of Mental Health Federal Fund (1148).....................................$322,779,896
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1 Section 10.070. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund for Disproportionate Share Hospital
4 funds leveraged by the Department of Mental Health - Institution
5 of Mental Disease facilities
6 From Department of Mental Health Federal Fund (1148).......................................$42,803,679
1 Section 10.075. To the Department of Mental Health
2 For the Office of the Director
3 For the Office of Disaster Services
4 For grant funding for the Crisis Counseling Program, Show Me Hope, to
5 provide services related to presidential disaster declarations
6 Personal Service (including $55,485 and 1.00 F.T.E. one-time) ......................$123,430
7 Expense and Equipment (including $1,312,374 one-time)...................... 3,402,374
8 From Department of Mental Health Federal Fund (1148) (Not to exceed
9 2.00 F.T.E.) ....................................................................................................$3,525,804
1 Section 10.100. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the administration of statewide comprehensive psychiatric services
4 and alcohol and drug abuse prevention and treatment programs,
5 provided three percent (3%) flexibility is allowed from this
6 section to Section 10.575
7 Personal Service.............................................................................................$2,539,524
8 Expense and Equipment........................................................................... 75,388
9 From General Revenue Fund (1101) ...........................................................................2,614,912
10 Personal Service...............................................................................................1,693,360
11 Expense and Equipment........................................................................... 1,885,784
12 From Department of Mental Health Federal Fund (1148)...........................................3,579,144
13 Personal Service..................................................................................................389,142
14 Expense and Equipment........................................................................... 270
15 From Mental Health Reinvestment Fund (1352) ............................................................389,412
16 Personal Service
17 From Health Initiatives Fund (1275) ................................................................... 65,684
18 Total (Not to exceed 59.92 F.T.E.) ............................................................................$6,649,152
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1 Section 10.105. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For prevention and education services, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 From Department of Mental Health Federal Fund (1148).......................................$13,729,737
6 From Health Initiatives Fund (1275) ................................................................................82,148
7 From Mental Health Earnings Fund (1288)....................................................................475,024
8 Personal Service
9 From Mental Health Reinvestment Fund (1352) ..............................................................36,960
10 Personal Service....................................................................................................85,730
11 Expense and Equipment........................................................................... 1,372,959
12 From General Revenue Fund (1101) ...........................................................................1,458,689
13 Personal Service..................................................................................................166,586
14 Expense and Equipment........................................................................... 285,607
15 From Department of Mental Health Federal Fund (1148)..............................................452,193
16 For enabling enforcement of the provisions of the Family Smoking
17 Prevention and Tobacco Control Act of 2009, in collaboration
18 with the Department of Public Safety, Division of Alcohol and
19 Tobacco Control
20 Personal Service..................................................................................................342,077
21 Expense and Equipment........................................................................... 201,159
22 From Department of Mental Health Federal Fund (1148)..............................................543,236
23 For youth substance use prevention for a non-profit founded in 1958,
24 located in any city with more than four hundred thousand
25 inhabitants and located in more than one county, to reduce the
26 impact of alcohol, drugs, and addiction by providing quality
27 resources to individuals, families and the community
28 Expense and Equipment
29 From Mental Health Reinvestment Fund (1352) (one-time) ............................................30,000
30 For youth substance use prevention
31 Expense and Equipment
32 From Mental Health Reinvestment Fund (1352) (one-time) ..........................................270,000
33 For suicide prevention initiatives
34 Personal Service....................................................................................................24,048
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35 Expense and Equipment........................................................................... 829,806
36 From Department of Mental Health Federal Fund (1148)................................... 853,854
37 Total (Not to exceed 8.84 F.T.E.) ............................................................................$17,931,841
1 Section 10.106. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For statewide acquisition, distribution and monitoring of opioid
4 antagonists approved by the Food and Drug Administration, for
5 a public institution of higher education in any county with more
6 than one million inhabitants founded in 1963, provided $100,000
7 be utilized for a pilot project to distribute fentanyl test strips to
8 community-based organizations
9 Expense and Equipment
10 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$5,100,000
11 For statewide acquisition, distribution and monitoring of opioid
12 antagonists approved by the Food and Drug Administration,
13 provided funds are for a public institution of higher education in
14 any county with more than one million inhabitants founded in
15 1963, to law enforcement agencies and first responders, and shall
16 be awarded through a competitive bidding process, and further
17 provided that the Department shall provide an annual report to
18 the House Budget and Senate Appropriations Committee Chairs
19 and Ranking Members regarding the use and distribution of such
20 opioid antagonists
21 Expense and Equipment
22 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 5,000,000
23 Total ........................................................................................................................$10,100,000
1 Section 10.107. To the Department of Mental Health
2 For grants no less than $250,000 distributed to Prevention Resource
3 Centers for primary care substance-use prevention
4 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000
1 Section 10.108. To the Department of Mental Health
2 For distribution to a fire department located in a city with more than one
3 hundred five thousand but fewer than one hundred twenty-five
4 thousand inhabitants that engages in partnerships between social
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5 work resources, mental health resources, and emergency
6 responders to connect community members to essential services
7 From General Revenue Fund (1101) ............................................................................$500,000
1 Section 10.110. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Opioid Settlement Administration
4 For the reporting requirements pursuant to Section 196.1050, RSMo.
5 Personal Service..................................................................................................$79,737
6 Expense and Equipment........................................................................... 5,000
7 From Opioid Addiction Treatment and Recovery Fund (1705) (Not to
8 exceed 1.00 F.T.E.) .............................................................................................$84,737
1 Section 10.115. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Recovery Community Centers
4 From General Revenue Fund (1101) .........................................................................$3,670,740
5 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,200,000
6 From Mental Health Reinvestment Fund (1352) ................................................. 4,681,787
7 Total ...........................................................................................................................$9,552,527
1 Section 10.116. To the Department of Mental Health
2 For an Outpatient Comprehensive Substance Treatment and
3 Rehabilitation (CSTAR) Provider, located in any city not within
4 a county, with at least twenty years of experience and currently
5 in the process of renovating clinics, to meet increasing substance
6 use needs in the community through clinic and recovery housing
7 renovations and expanded telehealth access
8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$750,000
1 Section 10.117. To the Department of Mental Health
2 For a non-profit organization focused on veterans' healthcare
3 headquartered in any city not within a county, working in
4 collaboration with an Outpatient Comprehensive Substance
5 Treatment and Rehabilitation (CSTAR) Provider, for the
6 renovation of facilities to expand access to mental health and
7 employment training for veterans with opioid use disorder and
8 co-occurring substance use disorders
9 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$250,000
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1 Section 10.120. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Recovery Support Services
4 Expense and Equipment
5 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,835,879
6 From Mental Health Reinvestment Fund (1352) .........................................................3,000,000
7 For Recovery Support Services with the Access to Recovery Program
8 From Department of Mental Health Federal Fund (1148)...........................................2,598,084
9 For peer-to-peer substance use disorder and mental health recovery
10 support services, located in any city with more than one hundred
11 sixty thousand but fewer than two hundred thousand inhabitants
12 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 100,000
13 Total ...........................................................................................................................$7,533,963
1 Section 10.121. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Shelter Plus Care grants
4 Program Distribution
5 From Department of Mental Health Federal Fund (1148).......................................$14,336,746
6 For housing assistance for homeless veterans, provided three percent
7 (3%) flexibility is allowed from this section to Section 10.575
8 Program Distribution
9 From General Revenue Fund (1101) ..............................................................................255,000
10 From Department of Mental Health Federal Fund (1148)................................... 1,000,000
11 Total .........................................................................................................................$15,591,746
1 Section 10.122. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Housing Liaisons to provide assistance to Missourians with
4 disabilities in securing housing and receiving supportive services
5 and to serve as liaison between tenants, housing providers, and
6 the department
7 Program Distribution
8 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$2,500,000
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1 Section 10.123. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Community Behavioral Health Liaisons
4 Program Distribution
5 From Mental Health Reinvestment Fund (1352) .......................................................$1,450,325
6 For Youth Behavioral Health Liaisons
7 Program Distribution
8 From General Revenue Fund (1101) ..............................................................................177,275
9 From Department of Mental Health Federal Fund (1148)..............................................564,769
10 From Title XXI Children’s Health Insurance Program Federal Fund
11 (1159) ..................................................................................................................500,000
12 From Mental Health Reinvestment Fund (1352) ................................................. 132,956
13 Total ...........................................................................................................................$2,825,325
1 Section 10.125. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Addiction Medicine Fellowships
4 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000
1 Section 10.126. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For a psychology internship program
4 Personal Service (one-time) ..............................................................................$218,192
5 Expense and Equipment (one-time)......................................................... 10,500
6 From Mental Health Earnings Fund (1288) (Not to exceed 5.60 F.T.E.)
7 (one-time) ..........................................................................................................$228,692
1 Section 10.127. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Substance Abuse Traffic Offender Program
4 Expense and Equipment
5 From Mental Health Earnings Fund (1288)...............................................................$4,495,353
1 Section 10.130. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For comprehensive psychiatric services, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.575
5 Personal Service.............................................................................................$1,574,946
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6 Expense and Equipment........................................................................... 16,605,748
7 From General Revenue Fund (1101) .........................................................................18,180,694
8 Personal Service..................................................................................................494,474
9 Expense and Equipment........................................................................... 4,548,307
10 From Department of Mental Health Federal Fund (1148)...........................................5,042,781
11 For adult psychiatric services, provided fifteen percent (15%) flexibility
12 is allowed between subsections indicated in Sections 10.130 and
13 10.160 to allow flexibility in payment for the Certified
14 Community Behavioral Health Clinic Prospective Payment
15 System, and further provided three percent (3%) flexibility is
16 allowed from this section to Section 10.575
17 Expense and Equipment
18 From General Revenue Fund (1101) .........................................................................30,202,925
19 From Department of Mental Health Federal Fund (1148).........................................48,024,854
20 From Title XXI Children’s Health Insurance Program Federal Fund
21 (1159) ..................................................................................................................849,315
22 From Mental Health Interagency Payments Fund (1109)............................................1,310,572
23 From Missouri Crisis Services Fund (1344) ..............................................................18,500,000
24 From DMH Local Tax Matching Fund (1930) ............................................................2,426,903
25 For treatment of alcohol and drug abuse, provided three percent (3%)
26 flexibility is allowed from this section to Section 10.575
27 Personal Service
28 From General Revenue Fund (1101) ..............................................................................625,021
29 Personal Service..................................................................................................275,338
30 Expense and Equipment........................................................................... 377,058
31 From Department of Mental Health Federal Fund (1148)..............................................652,396
32 Personal Service..................................................................................................279,257
33 Expense and Equipment........................................................................... 21,213
34 From Health Initiatives Fund (1275) ..............................................................................300,470
35 Personal Service
36 From Mental Health Reinvestment Fund (1352) ............................................................141,572
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37 For Federally Qualified Health Centers, located in any city with more
38 than four hundred thousand inhabitants and located in more than
39 one county, to provide mental health services
40 From General Revenue Fund (1101) ..............................................................................200,000
41 For treatment of alcohol and drug abuse, provided fifteen percent (15%)
42 flexibility is allowed between subsections indicated in Sections
43 10.130 and 10.160 to allow flexibility in payment for the
44 Certified Community Behavioral Health Clinic Prospective
45 Payment System, and further provided three percent (3%)
46 flexibility is allowed from this section to Section 10.575
47 From General Revenue Fund (1101) ...........................................................................8,662,074
48 From Department of Mental Health Federal Fund (1148).........................................82,141,611
49 From Title XXI Children’s Health Insurance Program Federal Fund
50 (1159) ...............................................................................................................2,174,002
51 From Mental Health Reinvestment Fund (1352) .........................................................7,868,382
52 For treatment of alcohol and drug abuse
53 From Inmate Fund (1540) ............................................................................................3,513,779
54 From Health Initiatives Fund (1275) ...........................................................................6,084,022
55 From DMH Local Tax Matching Fund (1930) ...............................................................963,775
56 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................6,040,316
57 For treatment of compulsive gambling
58 Expense and Equipment
59 From Compulsive Gamblers Fund (1249) ......................................................................153,606
60 For youth psychiatric services, provided fifteen percent (15%) flexibility
61 is allowed between subsections indicated in Sections 10.130 and
62 10.160 to allow flexibility in payment for the Certified
63 Community Behavioral Health Clinic Prospective Payment
64 System, and further provided three percent (3%) flexibility is
65 allowed from this section to Section 10.575
66 Expense and Equipment
67 From General Revenue Fund (1101) ...........................................................................3,895,742
68 From Department of Mental Health Federal Fund (1148)...........................................6,923,541
69 From Mental Health Interagency Payments Fund (1109)...............................................100,000
70 From DMH Local Tax Matching Fund (1930) ............................................................1,406,879
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71 For the Division of Behavioral Health to implement the use of EEG
72 Guided Transcranial Magnetic Stimulation (e-TMS) equipment
73 for priority populations to include veterans, law enforcement and
74 first responders
75 Expense and Equipment
76 From General Revenue Fund (1101) ...........................................................................2,117,297
77 From Department of Mental Health Federal Fund (1148)...........................................2,117,298
78 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,000,000
79 Total (Not to exceed 50.52 F.T.E.) ........................................................................$262,619,827
1 Section 10.131. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For an organization serving a city not in a county and the surrounding
4 region to support prevention of opioid overdose
5 From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,113,000
1 Section 10.135. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the MOConnect System
4 For the maintenance and operation of the crisis module
5 From General Revenue Fund (1101) ............................................................................$498,750
6 For the maintenance and operation of the referral module
7 From General Revenue Fund (1101) ................................................................... 498,750
8 Total ..............................................................................................................................$997,500
1 Section 10.140. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For reimbursing attorneys, physicians, and counties for fees in
4 involuntary civil commitment procedures, provided three percent
5 (3%) flexibility is allowed from this section to Section 10.575
6 Expense and Equipment
7 From General Revenue Fund (1101) .........................................................................$1,797,441
1 Section 10.142. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For outpatient competency restoration services authorized by Section
4 552.020, RSMo
5 Program Distribution
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6 From General Revenue Fund (1101) .........................................................................$2,951,964
7 From Department of Mental Health Federal Fund (1148)................................... 3,151,674
8 Total ...........................................................................................................................$6,103,638
1 Section 10.143. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For jail based or other detention facility-based outpatient competency
4 restoration services authorized by Section 552.020, RSMo
5 Program Distribution
6 From General Revenue Fund (1101) .........................................................................$2,000,000
1 Section 10.145. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For Forensic Mobile Teams to provide treatment to clients who are in
4 county jails awaiting court-ordered evaluations pursuant to
5 Chapter 552 RSMo and those who have been court-ordered for
6 competency restoration services in a Division of Behavioral
7 Health (DBH) inpatient facility pursuant to Chapter 552 RSMo
8 Personal Service.............................................................................................$1,669,255
9 Expense and Equipment........................................................................... 405,333
10 From General Revenue Fund (1101) ...........................................................................2,074,588
11 For a substance abuse initiative that focuses on providing medication
12 assisted treatment to treat substance use disorders. Eligible
13 Federally Qualified Health Centers shall have provided walk-in
14 medication assisted treatment services in the previous year
15 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 1,000,000
16 Total (Not to exceed 18.50 F.T.E.) ............................................................................$3,074,588
1 Section 10.150. To the Department of Mental Health
2 For engaging patients in care coordination (EPICC) 24/7 referral and
3 linkage service for those residing in targeted regions, primarily
4 for individuals post overdose, but who also may present to
5 hospitals with issues relating to opioid, stimulant, and/or alcohol
6 use disorders to establish immediate connections to recovery
7 support services, and substance use treatment
8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$500,000
1 Section 10.155. To the Department of Mental Health
CCS SS SCS HCS HB 2010 16
2 For the Division of Behavioral Health
3 For prevention, treatment, and recovery programs at recovery high
4 schools
5 From Department of Mental Health Federal Fund (1148).........................................$6,834,783
6 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 3,600,000
7 Total .........................................................................................................................$10,434,783
1 Section 10.160. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For treatment of alcohol and drug abuse for payment of services to
4 Certified Community Behavioral Health Organizations, provided
5 fifteen percent (15%) flexibility is allowed between subsections
6 indicated in Sections 10.130 and 10.160 to allow flexibility in
7 payment for the Certified Community Behavioral Health Clinic
8 Prospective Payment System, and further provided three percent
9 (3%) flexibility is allowed from this section to Section 10.575
10 Expense and Equipment
11 From General Revenue Fund (1101) .......................................................................$25,943,592
12 From Department of Mental Health Federal Fund (1148).........................................26,241,033
13 From Title XXI Children’s Health Insurance Program Federal Fund
14 (1159) ..................................................................................................................316,129
15 From Mental Health Reinvestment Fund (1352) .......................................................10,278,884
16 For adult psychiatric services and community programs, provided fifteen
17 percent (15%) flexibility is allowed between subsections
18 indicated in Sections 10.130 and 10.160 to allow flexibility in
19 payment for the Certified Community Behavioral Health Clinic
20 Prospective Payment System, and further provided three percent
21 (3%) flexibility is allowed from this section to Section 10.575
22 Expense and Equipment
23 From General Revenue Fund (1101) .......................................................................193,911,674
24 From Department of Mental Health Federal Fund (1148).......................................290,730,374
25 From Title XXI Children’s Health Insurance Program Federal Fund
26 (1159) ...............................................................................................................1,942,304
27 From Missouri Crisis Services Fund (1344) ..............................................................18,500,000
28 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................189,799
29 For youth psychiatric services and community programs, and further
30 provided that CPR/CCBHO services for youth shall not be
CCS SS SCS HCS HB 2010 17
31 capped and Medicaid supplemental shall be requested when
32 necessary, provided fifteen percent (15%) flexibility is allowed
33 between subsections indicated in Sections 10.130 and 10.160 to
34 allow flexibility in payment for the Certified Community
35 Behavioral Health Clinic Prospective Payment System, and
36 further provided three percent (3%) flexibility is allowed from
37 this section to Section 10.575
38 Expense and Equipment
39 From General Revenue Fund (1101) .........................................................................82,483,107
40 From Department of Mental Health Federal Fund (1148).......................................149,548,953
41 From Title XXI Children’s Health Insurance Program Federal Fund
42 (1159) ....................................................................................................... 31,811,758
43 Total .......................................................................................................................$831,897,607
1 Section 10.161. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Roy Blunt Behavioral Health Scholarship Program
4 From General Revenue Fund (1101) ............................................................................$250,000
1 Section 10.165. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For a universal screening program used to identify maternal depression
4 and related behavioral health disorders including anxiety,
5 substance use disorder and depression
6 From Department of Mental Health Federal Fund (1148)............................................$750,000
1 Section 10.170. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For 988 Crisis Response
4 From Department of Mental Health Federal Fund (1148).........................................$3,140,197
5 From Missouri Crisis Services Fund (1344) ........................................................ 3,857,560
6 Total ...........................................................................................................................$6,997,757
1 Section 10.175. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For administrative expenses related to the 988 Crisis Response
4 Personal Service..................................................................................................$36,395
5 Expense and Equipment........................................................................... 5,000
6 From Department of Mental Health Federal Fund (1148)..............................................$41,395
CCS SS SCS HCS HB 2010 18
1 Section 10.180. To the Department of Mental Health
2 For the Division of Behavioral Health
3 To pay the state operated hospital provider tax
4 Expense and Equipment
5 From General Revenue Fund (1101) .......................................................................$12,010,000
6 For funding expenses related to fluctuating census demands, Medicare
7 bundling compliance, Medicare Part D implementation, and to
8 restore facilities personal service and/or expense and equipment
9 incurred for direct care worker training and other operational
10 maintenance expenses
11 Expense and Equipment
12 From Department of Mental Health Federal Fund (1148)...........................................4,438,909
13 From Title XXI Children’s Health Insurance Program Federal Fund
14 (1159) ....................................................................................................... 400,184
15 Total .........................................................................................................................$16,849,093
1 Section 10.250. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the State Operated Inpatient Psychiatric Hospitals and Treatment
4 Facilities: Fulton State Hospital, Northwest Missouri Psychiatric
5 Rehabilitation Center, Forensic Treatment Center, Southeast
6 Missouri Mental Health Center, Center for Behavioral Medicine,
7 Hawthorn Children’s Psychiatric Hospital, Southeast Missouri
8 Mental Health Center Sex Offender Rehabilitation and Treatment
9 Services, and Fulton State Hospital Sex Offender Rehabilitation
10 and Treatment Services, provided fifteen percent (15%)
11 flexibility is allowed from this section to Sections 10.130 and
12 10.160 for the Purchase of Community Services, including
13 transitioning clients to the community or other state-operated
14 services, and further provided ten percent (10%) flexibility is
15 allowed between personal service and expense and equipment
16 Personal Service.........................................................................................$203,340,305
17 Expense and Equipment........................................................................... 46,689,290
18 From General Revenue Fund (1101) .......................................................................250,029,595
19 Personal Service.............................................................................................19,365,200
20 Expense and Equipment (including $10,500,000 one-time).................... 12,369,144
CCS SS SCS HCS HB 2010 19
21 From Department of Mental Health Federal Fund (1148).........................................31,734,344
22 Personal Service..................................................................................................121,153
23 Expense and Equipment........................................................................... 1,271,646
24 From Mental Health Earnings Fund (1288).................................................................1,392,799
25 Personal Service
26 From Mental Health Trust Fund (1926)............................................................... 97,876
27 Total (Not to exceed 3,802.46 F.T.E.) ...................................................................$283,254,614
1 Section 10.400. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the division administration, provided three percent (3%) flexibility
4 is allowed from this section to Section 10.575
5 Personal Service.............................................................................................$1,883,186
6 Expense and Equipment........................................................................... 52,145
7 From General Revenue Fund (1101) ...........................................................................1,935,331
8 Personal Service..................................................................................................495,798
9 Expense and Equipment........................................................................... 868,980
10 From Department of Mental Health Federal Fund (1148)................................... 1,364,778
11 Total (Not to exceed 30.12 F.T.E.) ............................................................................$3,300,109
1 Section 10.405. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the payment of the state operated Intermediate Care Facilities for
4 Individuals with Intellectual Disabilities (ICF/IID) provider tax
5 Expense and Equipment
6 From General Revenue Fund (1101) .........................................................................$6,902,000
1 Section 10.410. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 Provided residential services for non-Medicaid eligibles shall not
4 be reduced below the prior year expenditures as long as the
5 person is evaluated to need the services, and further provided
6 thirty percent (30%) flexibility is allowed between sections
7 10.410 and 10.415
8 For community programs, including long-term care transformation
9 initiatives and efforts for reimbursement of providers based on
CCS SS SCS HCS HB 2010 20
10 integration of key identified outcomes that produce value-based
11 care delivery models to improve quality and efficiency of the
12 total care delivered to individuals,
13 From General Revenue Fund (1101) .....................................................................$963,444,597
14 From Department of Mental Health Federal Fund (1148)....................................1,722,459,298
15 From Title XXI Children’s Health Insurance Program Federal Fund
16 (1159) ...............................................................................................................5,058,440
17 From DMH Local Tax Matching Fund (1930) ............................................................1,015,000
18 For community programs, provided three percent (3%) flexibility is
19 allowed from this section to Section 10.575
20 Personal Service...............................................................................................1,084,817
21 Expense and Equipment........................................................................... 34,671
22 From General Revenue Fund (1101) ...........................................................................1,119,488
23 Personal Service...............................................................................................1,174,385
24 Expense and Equipment........................................................................... 179,284
25 From Department of Mental Health Federal Fund (1148)...........................................1,353,669
26 For services for children who are clients of the Department of Social
27 Services
28 From Mental Health Interagency Payments Fund (1109)..........................................11,591,223
29 For youth services
30 From Mental Health Interagency Payments Fund (1109)...............................................213,832
31 For Senate Bill 40 Board Tax Funds to be used as match for Medicaid
32 initiatives for clients of the division
33 From DMH Local Tax Matching Fund (1930) .................................................... 5,889,538
34 Total (Not to exceed 27.59 F.T.E.) .....................................................................$2,712,145,085
1 Section 10.412. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For Community Programs
4 For Value-Based Payments (VBP) to incentivize Medicaid providers to
5 improve outcomes for individuals in Home and Community-
6 Based Services (HCBS) DD Medicaid Waivers
7 Program Distribution
8 From General Revenue Fund (1101) .........................................................................$4,963,700
CCS SS SCS HCS HB 2010 21
9 From Department of Mental Health Federal Fund (1148)................................... 9,036,300
10 Total .........................................................................................................................$14,000,000
1 Section 10.414. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For statewide autism outreach, education, and awareness programs for
4 persons with autism and their families
5 Program Distribution
6 From General Revenue Fund (1101) .......................................................................$13,131,599
7 From Department of Mental Health Federal Fund (1148)..............................................970,423
8 For an Autism Center located in a city with more than fifty-one thousand
9 but fewer than fifty-eight thousand inhabitants and located in
10 more than one county
11 Program Distribution
12 From General Revenue Fund (1101) ................................................................................51,511
13 For Autism Outreach Initiatives for Children in Northeast Missouri
14 Program Distribution
15 From General Revenue Fund (1101) ................................................................................51,511
16 For Regional Autism Projects
17 Program Distribution
18 From General Revenue Fund (1101) ................................................................... 9,017,135
19 Total .........................................................................................................................$23,222,179
1 Section 10.415. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Developmental Disabilities Health Home Program
4 For a designated provider (including a provider that operates in
5 coordination with a team of health care professionals) or a health
6 team selected by an eligible individual with chronic conditions to
7 provide health home services, designed to coordinate care for
8 individuals with identified health risks and chronic health
9 conditions receiving DD HCBS services, provided thirty percent
10 (30%) flexibility is allowed between sections 10.410 and 10.415,
11 provided three percent (3%) flexibility is allowed from this
12 section to Section 10.575
13 Program Distribution
14 From General Revenue Fund (1101) .........................................................................$7,060,110
CCS SS SCS HCS HB 2010 22
15 From Department of Mental Health Federal Fund (1148).........................................12,178,717
16 From Title XXI Children’s Health Insurance Program Federal Fund
17 (1159) ....................................................................................................... 1,121,820
18 Total .........................................................................................................................$20,360,647
1 Section 10.420. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the reimbursement of hospitals related to individuals who qualify for
4 placement and support through the Division of Developmental
5 Disabilities who may otherwise be eligible for discharge but
6 cannot be discharged due to a lack of availability within an
7 appropriate community placement. Such hospitals shall provide
8 a request for funding documenting these individuals, length of
9 stay beyond discharge, and effort to find placement. The division
10 shall on a pro-rata basis provide a per diem reimbursement on an
11 annual basis
12 From General Revenue Fund (1101) .........................................................................$3,000,000
1 Section 10.425. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For community support staff
4 Personal Service
5 From General Revenue Fund (1101) .........................................................................$4,490,956
6 From Department of Mental Health Federal Fund (1148)................................... 8,955,829
7 Total (Not to exceed 234.38 F.T.E.) ........................................................................$13,446,785
1 Section 10.430. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For developmental disabilities services, provided ten percent (10%)
4 flexibility is allowed between personal service and expense and
5 equipment
6 Personal Service................................................................................................$560,699
7 Expense and Equipment........................................................................... 1,326,069
8 From Department of Mental Health Federal Fund (1148) (Not to
9 exceed 7.98 F.T.E.) ........................................................................................$1,886,768
1 Section 10.435. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury, to the
3 General Revenue Fund as a result of recovering the Intermediate
CCS SS SCS HCS HB 2010 23
4 Care Facility Intellectually Disabled (ICF/IID) Reimbursement
5 Allowance Fund
6 From Intermediate Care Facility Intellectually Disabled Reimbursement
7 Allowance Fund (1901) .................................................................................$2,447,105
8 Funds are to be transferred out of the State Treasury, to Federal
9 Funds
10 From Intermediate Care Facility Intellectually Disabled Reimbursement
11 Allowance Fund (1901) ........................................................................... 4,454,896
12 Total ...........................................................................................................................$6,902,001
1 Section 10.500. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Central Missouri Regional Center, provided twenty-five (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further provided ten percent (10%) flexibility is
6 allowed between sections 10.500, 10.505, 10.510, 10.515, and
7 10.520, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.575
9 Personal Service.............................................................................................$4,641,321
10 Expense and Equipment........................................................................... 145,918
11 From General Revenue Fund (1101) ...........................................................................4,787,239
12 Personal Service..................................................................................................723,014
13 Expense and Equipment........................................................................... 111,063
14 From Department of Mental Health Federal Fund (1148)................................... 834,077
15 Total (Not to exceed 98.70 F.T.E.) ............................................................................$5,621,316
1 Section 10.505. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Kansas City Regional Center, provided twenty-five percent
4 (25%) flexibility is allowed between personal service and
5 expense and equipment, and further provided ten percent (10%)
6 flexibility is allowed between sections 10.500, 10.505, 10.510,
7 10.515, and 10.520, and further provided three percent (3%)
8 flexibility is allowed from this section to Section 10.575
9 Personal Service.............................................................................................$4,409,346
10 Expense and Equipment........................................................................... 209,056
11 From General Revenue Fund (1101) ...........................................................................4,618,402
CCS SS SCS HCS HB 2010 24
12 Personal Service...............................................................................................1,369,119
13 Expense and Equipment........................................................................... 111,945
14 From Department of Mental Health Federal Fund (1148)................................... 1,481,064
15 Total (Not to exceed 97.74 F.T.E.) ............................................................................$6,099,466
1 Section 10.510. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Sikeston Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further provided ten percent (10%) flexibility is
6 allowed between sections 10.500, 10.505, 10.510, 10.515, and
7 10.520, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.575
9 Personal Service.............................................................................................$2,423,346
10 Expense and Equipment........................................................................... 106,668
11 From General Revenue Fund (1101) ...........................................................................2,530,014
12 Personal Service..................................................................................................267,298
13 Expense and Equipment........................................................................... 27,735
14 From Department of Mental Health Federal Fund (1148)................................... 295,033
15 Total (Not to exceed 48.57 F.T.E.) ............................................................................$2,825,047
1 Section 10.515. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the Springfield Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further provided ten percent (10%) flexibility is
6 allowed between sections 10.500, 10.505, 10.510, 10.515, and
7 10.520, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.575
9 Personal Service.............................................................................................$2,918,871
10 Expense and Equipment........................................................................... 137,069
11 From General Revenue Fund (1101) ...........................................................................3,055,940
12 Personal Service..................................................................................................423,301
13 Expense and Equipment........................................................................... 41,508
14 From Department of Mental Health Federal Fund (1148)................................... 464,809
15 Total (Not to exceed 60.13 F.T.E.) ............................................................................$3,520,749
CCS SS SCS HCS HB 2010 25
1 Section 10.520. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the St. Louis Regional Center, provided twenty-five percent (25%)
4 flexibility is allowed between personal service and expense and
5 equipment, and further provided ten percent (10%) flexibility is
6 allowed between sections 10.500, 10.505, 10.510, 10.515, and
7 10.520, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.575
9 Personal Service.............................................................................................$6,710,914
10 Expense and Equipment........................................................................... 328,620
11 From General Revenue Fund (1101) ...........................................................................7,039,534
12 Personal Service...............................................................................................1,190,148
13 Expense and Equipment........................................................................... 246,273
14 From Department of Mental Health Federal Fund (1148)................................... 1,436,421
15 Total (Not to exceed 141.00 F.T.E.) ..........................................................................$8,475,955
1 Section 10.523. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For the State-Owned and Operated Community Services and
4 Intermediate Care Facilities for Individuals with Intellectual
5 Disabilities (ICF/IID) Habilitation Centers: Bellefontaine,
6 Higginsville, St. Louis Developmental Disabilities Treatment
7 Center, Southeast Missouri Residential Services, Northwest
8 Community Services, Southwest Community Services, and
9 Southeast Missouri Residential Services, provided ten percent
10 (10%) flexibility is allowed from this section to Section 10.410
11 for the Purchase of Community Services, including transitioning
12 clients to the community or other state-operated services, and
13 further provided ten percent (10%) flexibility is allowed between
14 personal service and expense and equipment
15 Personal Service...........................................................................................$52,525,032
16 Expense and Equipment........................................................................... 3,313,324
17 From General Revenue Fund (1101) .........................................................................55,838,356
18 Personal Service.............................................................................................69,208,607
19 Expense and Equipment (including $4,500,000 one-time)...................... 7,843,416
20 From Department of Mental Health Federal Fund (1148).........................................77,052,023
CCS SS SCS HCS HB 2010 26
21 Expense and Equipment
22 From Habilitation Center Room and Board Fund (1435) .................................... 3,417,038
23 Total (Not to exceed 2,395.13 F.T.E.) ...................................................................$136,307,417
1 Section 10.555. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 To be distributed to programs promoting basic scientific research,
4 clinic patient research, and patient care for tuberous sclerosis
5 complex
6 From General Revenue Fund (1101) ............................................................................$450,000
1 Section 10.575. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury, for the
3 payment of claims, premiums, and expenses as provided by
4 Section 105.711 through 105.726, RSMo, to the State Legal
5 Expense Fund
6 From General Revenue Fund (1101) .......................................................................................$1
1 Section 10.600. To the Department of Health and Senior Services
2 For the Office of the Director
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.950
5 Personal Service................................................................................................$351,465
6 Expense and Equipment........................................................................... 15,326
7 From General Revenue Fund (1101) ..............................................................................366,791
8 Personal Service..................................................................................................625,522
9 Expense and Equipment........................................................................... 67,048
10 From Department of Health and Senior Services Federal Fund (1143) .............. 692,570
11 Total (Not to exceed 11.00 F.T.E.) ............................................................................$1,059,361
1 Section 10.605. To the Department of Health and Senior Services
2 For the Division of Administration
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.950
5 Personal Service.............................................................................................$1,015,828
6 Expense and Equipment........................................................................... 384,070
7 From General Revenue Fund (1101) ...........................................................................1,399,898
CCS SS SCS HCS HB 2010 27
8 For program operations and support
9 Personal Service...............................................................................................3,629,358
10 Expense and Equipment........................................................................... 1,982,510
11 From Department of Health and Senior Services Federal Fund (1143) ......................5,611,868
12 Personal Service..................................................................................................353,200
13 Expense and Equipment........................................................................... 199,900
14 From Missouri Public Health Services Fund (1298) ......................................................553,100
15 Personal Service...............................................................................................1,226,238
16 Expense and Equipment........................................................................... 2,027,134
17 From Veterans, Health, and Community Reinvestment Fund (1608) .........................3,253,372
18 Expense and Equipment
19 From Nursing Facility Quality of Care Fund (1271) ......................................................330,000
20 Expense and Equipment
21 From Mammography Fund (1293) ...................................................................................25,000
22 Expense and Equipment
23 From Department of Health and Senior Services Document Services
24 Fund (1646)...........................................................................................................44,571
25 Expense and Equipment
26 From Department of Health Donated Fund (1658)...........................................................30,000
27 Expense and Equipment
28 From Putative Father Registry Fund (1780) .....................................................................25,000
29 Expense and Equipment
30 From Organ Donor Program Fund (1824) ........................................................................30,000
31 Personal Service
32 From Opioid Addiction Treatment and Recovery Fund (1705) ............................................320
33 Expense and Equipment
34 From Missouri Veterans’ Health and Care Fund (1606) .............................................1,020,524
35 Expense and Equipment
36 From Health Access Incentive Fund (1276) ........................................................ 50,000
CCS SS SCS HCS HB 2010 28
37 Total (Not to exceed 100.85 F.T.E.) ........................................................................$12,373,653
1 Section 10.610. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury, to the Health
3 Access Incentive Fund
4 From Health Initiatives Fund (1275) ............................................................................$916,477
1 Section 10.615. To the Department of Health and Senior Services
2 For the Division of Administration
3 For the payment of refunds set off against debts in accordance with
4 Section 143.786, RSMo
5 From Debt Offset Escrow Fund (1753) ..........................................................................$50,000
1 Section 10.620. To the Department of Health and Senior Services
2 For the Division of Administration
3 For refunds
4 From General Revenue Fund (1101) ..............................................................................$50,000
5 For refunds, provided fifty percent (50%) flexibility is allowed between
6 federal and other funds
7 From Department of Health and Senior Services Federal Fund (1143) .........................100,000
8 From Nursing Facility Quality of Care Fund (1271) ..........................................................9,240
9 From Health Access Incentive Fund (1276) .......................................................................5,000
10 From Mammography Fund (1293) .....................................................................................1,000
11 From Missouri Public Health Services Fund (1298) ........................................................39,000
12 From Endowed Care Cemetery Audit Fund (1562)............................................................2,899
13 From Professional and Practical Nursing Student Loan and Nurse Loan
14 Repayment Fund (1565) .........................................................................................2,500
15 From Missouri Veterans’ Health and Care Fund (1606) ..................................................51,000
16 From Veterans, Health, and Community Reinvestment Fund (1608) ............................100,000
17 From Department of Health and Senior Services Document Services
18 Fund (1646)...........................................................................................................10,000
19 From Department of Health Donated Fund (1658)...........................................................15,133
20 From Criminal Record System Fund (1671) .........................................................................333
21 From Children’s Trust Fund (1694)..................................................................................13,495
22 From Brain Injury Fund (1742) .............................................................................................100
23 From Organ Donor Program Fund (1824) ...............................................................................25
24 From Missouri State Coroners’ Fund (1846)......................................................................1,200
25 From Childhood Lead Testing Fund (1899) ........................................................ 275
CCS SS SCS HCS HB 2010 29
26 Total ..............................................................................................................................$401,200
1 Section 10.625. To the Department of Health and Senior Services
2 For the Division of Administration
3 For receiving and expending grants, donations, contracts, and payments
4 from private, federal, and other governmental agencies which
5 may become available between sessions of the General
6 Assembly, provided the General Assembly shall be notified of
7 the source of any new funds and the purpose for which they shall
8 be expended, in writing, prior to the use of said funds
9 Personal Service................................................................................................$130,765
10 Expense and Equipment........................................................................... 2,000,001
11 From Department of Health and Senior Services Federal Fund (1143) ......................2,130,766
12 Personal Service..................................................................................................120,264
13 Expense and Equipment........................................................................... 347,596
14 From Department of Health Donated Fund (1658).............................................. 467,860
15 Total ...........................................................................................................................$2,598,626
1 Section 10.630. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury, in
3 accordance with Section 135.690, RSMo, to the General Revenue
4 Fund
5 From Medical Preceptor Fund (1260)...........................................................................$200,000
1 Section 10.650. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For cancer and chronic disease control, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service................................................................................................$240,922
10 Expense and Equipment........................................................................... 75,872
11 From General Revenue Fund (1101) ..............................................................................316,794
12 Personal Service..................................................................................................629,909
13 Expense and Equipment........................................................................... 3,075,641
CCS SS SCS HCS HB 2010 30
14 From Department of Health and Senior Services Federal Fund (1143) ......................3,705,550
15 Personal Service..................................................................................................153,179
16 Expense and Equipment........................................................................... 131,887
17 From Organ Donor Program Fund (1824) ......................................................................285,066
18 Expense and Equipment
19 From Health Initiatives Fund (1275) ................................................................................26,241
20 For a grant program benefitting people living with amyotrophic lateral
21 sclerosis (ALS) and providing case services, including respite
22 care, care coordination, and clinical support
23 From General Revenue Fund (1101) ..............................................................................250,000
24 For Community Based Navigation Services for breast cancer screening
25 and treatment provided by a statewide community based not-for-
26 profit with experience supporting low to moderate income
27 individuals who are either in need of preventative screening
28 services for breast cancer detection and/or treatment for breast
29 cancer
30 From General Revenue Fund (1101) ..............................................................................500,000
31 For the Show Me Healthy Women program
32 Expense and Equipment
33 From General Revenue Fund (1101) ..............................................................................500,000
34 Personal Service..................................................................................................473,898
35 Expense and Equipment........................................................................... 1,894,453
36 From Department of Health and Senior Services Federal Fund (1143) ......................2,368,351
37 Expense and Equipment
38 From Missouri Public Health Services Fund (1298) ........................................................20,000
39 Expense and Equipment
40 From Department of Health Donated Fund (1658).............................................. 32,548
41 Total (Not to exceed 21.06 F.T.E.) ............................................................................$8,004,550
1 Section 10.655. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
CCS SS SCS HCS HB 2010 31
3 For communicable disease control and prevention, provided twenty
4 percent (20%) flexibility is allowed between sections 10.650,
5 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690,
6 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730,
7 and 10.735, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.950
9 Personal Service.............................................................................................$1,220,501
10 Expense and Equipment........................................................................... 1,658,458
11 From General Revenue Fund (1101) ...........................................................................2,878,959
12 Personal Service...............................................................................................1,575,665
13 Expense and Equipment........................................................................... 3,012,961
14 From Department of Health and Senior Services Federal Fund (1143) ......................4,588,626
15 Expense and Equipment
16 From Title XXI Children’s Health Insurance Program Federal Fund
17 (1159) ...............................................................................................................4,340,875
18 Expense and Equipment
19 From Health Initiatives Fund (1275) ................................................................... 121,787
20 Total (Not to exceed 40.56 F.T.E.) ..........................................................................$11,930,247
1 Section 10.660. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For community health and wellness initiatives, provided twenty percent
4 (20%) flexibility is allowed between sections 10.650, 10.655,
5 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
6 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
7 10.735, and further provided seventeen percent (17%) flexibility
8 between personal service and expense and equipment within the
9 Health Initiatives Fund (1275) within this section, and further
10 provided three percent (3%) flexibility is allowed from this
11 section to Section 10.950
12 Personal Service................................................................................................$495,661
13 Expense and Equipment........................................................................... 20,000
14 From General Revenue Fund (1101) ..............................................................................515,661
15 Personal Service...............................................................................................1,030,405
16 Expense and Equipment........................................................................... 6,821,136
CCS SS SCS HCS HB 2010 32
17 From Department of Health and Senior Services Federal Fund (1143) ......................7,851,541
18 Personal Service....................................................................................................13,630
19 Expense and Equipment........................................................................... 2,532,897
20 From Health Initiatives Fund (1275) ...........................................................................2,546,527
21 Personal Service..................................................................................................168,855
22 Expense and Equipment........................................................................... 2,506,500
23 From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,675,355
24 Expense and Equipment
25 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................216,300
26 For the Adolescent Health Program
27 Personal Service
28 From General Revenue Fund (1101) ................................................................................21,228
29 Expense and Equipment
30 From Department of Health and Senior Services Federal Fund (1143) ......................1,830,000
31 Expense and Equipment
32 From Health Initiatives Fund (1275) ..................................................................................1,228
33 For statewide distribution of opioid antagonists approved by the Food
34 and Drug Administration
35 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 800,000
36 Total (Not to exceed 24.16 F.T.E.) ..........................................................................$16,457,840
1 Section 10.665. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For tobacco cessation services, provided twenty percent (20%) flexibility
4 is allowed between sections 10.650, 10.655, 10.660, 10.665,
5 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705,
6 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735
7 From Department of Health and Senior Services Federal Fund (1143) .......................$100,000
8 For tobacco addiction prevention
9 Expense and Equipment
10 From Merchandising Practices Revolving Fund (1631) ...................................... 300,000
11 Total ..............................................................................................................................$400,000
CCS SS SCS HCS HB 2010 33
1 Section 10.670. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Community and Public Health administration, provided twenty
4 percent (20%) flexibility is allowed between sections 10.650,
5 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690,
6 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730,
7 and 10.735, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.950
9 Personal Service
10 From General Revenue Fund (1101) .........................................................................$1,827,325
11 Personal Service...............................................................................................1,216,450
12 Expense and Equipment........................................................................... 1,474,645
13 From Department of Health and Senior Services Federal Fund (1143) ......................2,691,095
14 Personal Service..................................................................................................100,000
15 Expense and Equipment........................................................................... 140,000
16 From Department of Health Donated Fund (1658).........................................................240,000
17 Personal Service
18 From Health Initiatives Fund (1275) ...........................................................................1,338,536
19 Expense and Equipment
20 From Missouri Public Health Services Fund (1298) ........................................... 59,000
21 Total (Not to exceed 62.08 F.T.E.) ............................................................................$6,155,956
1 Section 10.675. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For emergency preparedness and response, provided $1,000,000 be used
4 to assist in maintaining the Poison Control Hotline, and further
5 provided twenty percent (20%) flexibility is allowed between
6 sections 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680,
7 10.685, 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720,
8 10.725, 10.730, and 10.735, and further provided three percent
9 (3%) flexibility is allowed from this section to Section 10.950
10 Personal Service................................................................................................$298,422
11 Expense and Equipment........................................................................... 1,050,000
12 From General Revenue Fund (1101) ...........................................................................1,348,422
CCS SS SCS HCS HB 2010 34
13 Personal Service...............................................................................................2,302,169
14 Expense and Equipment........................................................................... 9,635,701
15 From Department of Health and Senior Services Federal Fund (1143) ....................11,937,870
16 Personal Service....................................................................................................98,589
17 Expense and Equipment........................................................................... 24,472
18 From Missouri Public Health Services Fund (1298) ......................................................123,061
19 Personal Service....................................................................................................88,045
20 Expense and Equipment........................................................................... 23,785
21 From Environmental Radiation Monitoring Fund (1656) ..............................................111,830
22 Expense and Equipment
23 From Insurance Dedicated Fund (1566) .........................................................................500,000
24 For outbreak response
25 From Missouri Public Health Services Fund (1298) ........................................... 300,000
26 Total (Not to exceed 36.76 F.T.E.) ..........................................................................$14,321,183
1 Section 10.680. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For environmental public health provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service.............................................................................................$2,197,674
10 Expense and Equipment........................................................................... 206,075
11 From General Revenue Fund (1101) ...........................................................................2,403,749
12 Personal Service...............................................................................................2,399,047
13 Expense and Equipment........................................................................... 3,101,278
14 From Department of Health and Senior Services Federal Fund (1143) ......................5,500,325
15 Personal Service..................................................................................................361,920
16 Expense and Equipment........................................................................... 560,400
17 From Child Care and Development Block Grant Federal Fund (1168)..........................922,320
18 Personal Service..................................................................................................467,430
CCS SS SCS HCS HB 2010 35
19 Expense and Equipment........................................................................... 73,984
20 From Missouri Public Health Services Fund (1298) ......................................................541,414
21 Personal Service..................................................................................................264,624
22 Expense and Equipment........................................................................... 66,884
23 From Hazardous Waste Fund (1676) ..............................................................................331,508
24 Expense and Equipment
25 From Missouri Lead Abatement Loan Fund (1893) ..............................................................200
26 Expense and Equipment
27 From Health Initiatives Fund (1275) ................................................................... 179,986
28 Total (Not to exceed 77.23 F.T.E.) ............................................................................$9,879,502
1 Section 10.685. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For genetics and newborn health services, provided twenty percent
4 (20%) flexibility is allowed between sections 10.650, 10.655,
5 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
6 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
7 10.735, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.950
9 Personal Service................................................................................................$358,671
10 Expense and Equipment........................................................................... 696,320
11 From General Revenue Fund (1101) ...........................................................................1,054,991
12 Personal Service..................................................................................................555,398
13 Expense and Equipment........................................................................... 686,585
14 From Department of Health and Senior Services Federal Fund (1143) ......................1,241,983
15 Personal Service..................................................................................................173,323
16 Expense and Equipment........................................................................... 1,700,062
17 From Missouri Public Health Services Fund (1298) ...................................................1,873,385
18 Expense and Equipment
19 From Health Initiatives Fund (1275) ................................................................................10,585
20 For grants for newborn safety incubators in accordance with Section
21 210.950, RSMo
22 Expense and Equipment
CCS SS SCS HCS HB 2010 36
23 From General Revenue Fund (1101) ..............................................................................250,000
24 For the SAFE-CARE Program, including implementing a regionalized
25 medical response to child abuse, providing daily review of cases
26 of children less than four (4) years of age under investigation by
27 the Missouri Department of Social Services, Children's Division,
28 and to provide medical forensics training to medical providers
29 and multi-disciplinary team members
30 From General Revenue Fund (1101) ................................................................... 250,000
31 Total (Not to exceed 14.64 F.T.E.) ............................................................................$4,680,944
1 Section 10.690. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For health informatics and epidemiology, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service
10 From General Revenue Fund (1101) .........................................................................$1,329,570
11 Personal Service...............................................................................................2,551,228
12 Expense and Equipment........................................................................... 3,399,209
13 From Department of Health and Senior Services Federal Fund (1143) ......................5,950,437
14 Personal Service....................................................................................................57,865
15 Expense and Equipment........................................................................... 5,671
16 From Temporary Assistance for Needy Families Federal Fund (1199) ...........................63,536
17 Personal Service....................................................................................................96,077
18 Expense and Equipment........................................................................... 68,048
19 From Department of Health and Senior Services Document Services
20 Fund (1646).........................................................................................................164,125
21 Expense and Equipment
22 From Health Initiatives Fund (1275) ................................................................... 33,577
23 Total (Not to exceed 55.53 F.T.E.) ............................................................................$7,541,245
CCS SS SCS HCS HB 2010 37
1 Section 10.691. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For the maintenance and the annual subscription to the reportable disease
4 surveillance system
5 Program Distribution
6 From Missouri Public Health Services Fund (1298) ....................................................$800,000
1 Section 10.695. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For human immunodeficiency virus, sexually transmitted infection, and
4 Hepatitis services, provided twenty percent (20%) flexibility is
5 allowed between sections 10.650, 10.655, 10.660, 10.665,
6 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705,
7 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and further
8 provided three percent (3%) flexibility is allowed from this
9 section to Section 10.950
10 Personal Service................................................................................................$255,441
11 Expense and Equipment........................................................................... 57,500
12 From General Revenue Fund (1101) ..............................................................................312,941
13 Personal Service...............................................................................................1,582,414
14 Expense and Equipment........................................................................... 7,668,834
15 From Department of Health and Senior Services Federal Fund (1143) ......................9,251,248
16 Personal Service..................................................................................................166,780
17 Expense and Equipment........................................................................... 319,977
18 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................486,757
19 Expense and Equipment
20 From Health Initiatives Fund (1275) ................................................................................10,309
21 From General Revenue Fund (1101) ...........................................................................6,615,117
22 From Department of Health and Senior Services Federal Fund (1143) ....................65,171,601
23 For the Ryan White program, provided the eligible income requirement
24 is at or below three hundred percent (300%) of the Federal
25 Poverty Level (FPL)
26 Personal Service
27 From General Revenue Fund (1101) ..............................................................................700,782
28 Personal Service..................................................................................................445,659
CCS SS SCS HCS HB 2010 38
29 Expense and Equipment........................................................................... 100,166
30 From Department of Health and Senior Services Federal Fund (1143) .............. 545,825
31 Total (Not to exceed 50.55 F.T.E.) ..........................................................................$83,094,580
1 Section 10.700. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For Local Public Health Agency support, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service................................................................................................$291,815
10 Expense and Equipment........................................................................... 28,500
11 From General Revenue Fund (1101) ..............................................................................320,315
12 Personal Service....................................................................................................65,472
13 Expense and Equipment........................................................................... 82,140
14 From Department of Health and Senior Services Federal Fund (1143) .........................147,612
15 Expense and Equipment
16 From Missouri Public Health Services Fund (1298) ........................................................14,573
17 For core public health functions and related expenses
18 From General Revenue Fund (1101) ...........................................................................9,372,392
19 From Title XXI Children’s Health Insurance Program Federal Fund
20 (1159) ....................................................................................................... 8,400,000
21 Total (Not to exceed 3.41 F.T.E.) ............................................................................$18,254,892
1 Section 10.705. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For supplemental nutrition programs, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service
10 From General Revenue Fund (1101) ................................................................................$7,960
CCS SS SCS HCS HB 2010 39
11 Personal Service...............................................................................................4,628,871
12 Expense and Equipment........................................................................... 167,001,410
13 From Department of Health and Senior Services Federal Fund (1143) .............. 171,630,281
14 Total (Not to exceed 68.45 F.T.E.) ........................................................................$171,638,241
1 Section 10.710. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For rural health and primary care initiatives, including the Health
4 Professional Loan Repayment Program (HPLRP), provided
5 twenty percent (20%) flexibility is allowed between sections
6 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685,
7 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725,
8 10.730, and 10.735, and further provided three percent (3%)
9 flexibility is allowed from this section to Section 10.950
10 Personal Service................................................................................................$302,998
11 Expense and Equipment........................................................................... 1,000,000
12 From General Revenue Fund (1101) ...........................................................................1,302,998
13 Personal Service..................................................................................................253,267
14 Expense and Equipment........................................................................... 2,285,781
15 From Department of Health and Senior Services Federal Fund (1143) ......................2,539,048
16 Personal Service..................................................................................................126,920
17 Expense and Equipment........................................................................... 14,450
18 From Health Initiatives Fund (1275) ..............................................................................141,370
19 Expense and Equipment
20 From Health Access Incentive Fund (1276) ...................................................................650,000
21 Expense and Equipment
22 From Professional and Practical Nursing Student Loan and Nurse Loan
23 Repayment Fund (1565) .....................................................................................158,900
24 Expense and Equipment
25 From Department of Health Donated Fund (1658)......................................................1,031,790
26 For the development of graduate medical education programs, including
27 but not limited to costs associated to creating and maintaining a
28 GME Technical Assistance Center, grants for creation of new
CCS SS SCS HCS HB 2010 40
29 programs and expansion of existing programs in facilities that
30 take care of underserved and rural communities, and grants for
31 planning and other exploratory projects that position a facility to
32 sustain or increase graduate medical education opportunities
33 From General Revenue Fund (1101) ...........................................................................2,501,120
34 For graduate medical program grants for specialty areas which provide
35 specific training for physicians to prevent, diagnose, and manage
36 substance use disorder/opioid use disorder, and for associated
37 costs to support technical assistance, new and expanded GME
38 programs, expansion of residency slots within an existing
39 program, and funding for planning or other exploratory projects
40 that position the state to increase graduate medical education
41 opportunities
42 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................5,000,000
43 Funds are to be transferred out of the State Treasury to the State
44 Board of Nursing Fund
45 From Professional and Practical Nursing Student Loan and Nurse Loan
46 Repayment Fund (1565) .......................................................................... 100,000
47 Total (Not to exceed 8.06 F.T.E.) ............................................................................$13,425,226
1 Section 10.715. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For oral health services and initiatives, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 Personal Service
10 From General Revenue Fund (1101) ..............................................................................$99,214
11 Personal Service..................................................................................................591,922
12 Expense and Equipment........................................................................... 837,740
13 From Department of Health and Senior Services Federal Fund (1143) ......................1,429,662
14 Personal Service
15 From Health Initiatives Fund (1275) ..................................................................................3,687
CCS SS SCS HCS HB 2010 41
16 Expense and Equipment
17 From Department of Health Donated Fund (1658).........................................................655,000
18 For the Elks Mobile Dental Clinic
19 Expense and Equipment
20 From General Revenue Fund (1101) ..............................................................................350,000
21 For the Missouri Donated Dental Services Program
22 Expense and Equipment
23 From General Revenue Fund (1101) ................................................................... 180,000
24 Total (Not to exceed 9.43 F.T.E.) ..............................................................................$2,717,563
1 Section 10.720. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For minority health initiatives, provided twenty percent (20%) flexibility
4 is allowed between sections 10.650, 10.655, 10.660, 10.665,
5 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705,
6 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and further
7 provided three percent (3%) flexibility is allowed from this
8 section to Section 10.950
9 Personal Service................................................................................................$230,997
10 Expense and Equipment........................................................................... 181,121
11 From General Revenue Fund (1101) ..............................................................................412,118
12 Personal Service
13 From Department of Health and Senior Services Federal Fund (1143) .............. 39,128
14 Total (Not to exceed 3.98 F.T.E.) .................................................................................$451,246
1 Section 10.725. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For women's health and wellness programs and services, provided
4 twenty percent (20%) flexibility is allowed between sections
5 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685,
6 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725,
7 10.730, and 10.735, and further provided three percent (3%)
8 flexibility is allowed from this section to Section 10.950
9 Personal Service................................................................................................$166,357
10 Expense and Equipment........................................................................... 5,400
CCS SS SCS HCS HB 2010 42
11 From General Revenue Fund (1101) ..............................................................................171,757
12 Personal Service...............................................................................................1,089,603
13 Expense and Equipment........................................................................... 6,290,575
14 From Department of Health and Senior Services Federal Fund (1143) ......................7,380,178
15 Personal Service..................................................................................................112,088
16 Expense and Equipment........................................................................... 4,563,582
17 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................4,675,670
18 Expense and Equipment
19 From Health Initiatives Fund (1275) ..................................................................................4,916
20 Expense and Equipment
21 From Justice for Survivors Telehealth Network Fund (1228) ........................................100,000
22 For a statewide telehealth network for forensic examinations of victims
23 of sexual offenses
24 Expense and Equipment
25 From General Revenue Fund (1101) ...........................................................................2,058,612
26 For contracts for Sexual Violence Victims Services, Awareness, and
27 Education Program
28 Expense and Equipment
29 From Department of Health and Senior Services Federal Fund
30 (1143) ...............................................................................................................1,287,134
31 For the development and implementation of initiatives to reduce
32 maternal mortality, including maternal quality control protocols,
33 a perinatal health access collaborative, maternal care provider
34 trainings, postpartum plans of care best practices, and a state
35 maternal and child health dashboard
36 Expense and Equipment
37 From General Revenue Fund (1101) ................................................................... 2,175,000
38 Total (Not to exceed 20.51 F.T.E.) ..........................................................................$17,853,267
1 Section 10.730. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
CCS SS SCS HCS HB 2010 43
3 For fetal infant mortality review services, provided twenty percent (20%)
4 flexibility is allowed between sections 10.650, 10.655, 10.660,
5 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
6 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and
7 further provided three percent (3%) flexibility is allowed from
8 this section to Section 10.950
9 From General Revenue Fund (1101) ............................................................................$960,000
10 For a non-governmental, previously established local FIMR team in a
11 city with more than four hundred thousand inhabitants and
12 located in more than one county will be allowed to operate
13 independently of the state program with a separate IRB to review
14 select zip codes in a city with more than four hundred thousand
15 inhabitants and located in more than one county, but will utilize
16 standards and methods of review established by the Department,
17 coordinate with the state FIMR Program and regional FIMR
18 teams, and submit all outcomes, findings and data for their areas
19 of purview to the state program
20 Expense and Equipment
21 From General Revenue Fund (1101) (one-time) ................................................. 40,000
22 Total ...........................................................................................................................$1,000,000
1 Section 10.735. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 For vital records certification and issuance, provided twenty percent
4 (20%) flexibility is allowed between sections 10.650, 10.655,
5 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
6 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
7 10.735, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 10.950
9 Personal Service.............................................................................................$1,387,744
10 Expense and Equipment........................................................................... 56,720
11 From General Revenue Fund (1101) ...........................................................................1,444,464
12 Personal Service..................................................................................................162,709
13 Expense and Equipment........................................................................... 787,754
14 From Department of Health and Senior Services Federal Fund (1143) .........................950,463
15 Personal Service..................................................................................................130,693
CCS SS SCS HCS HB 2010 44
16 Expense and Equipment........................................................................... 25,724
17 From Missouri Public Health Services Fund (1298) ......................................................156,417
18 Personal Service..................................................................................................110,956
19 Expense and Equipment........................................................................... 27,748
20 From Putative Father Registry Fund (1780) ...................................................................138,704
21 Expense and Equipment
22 From Health Initiatives Fund (1275) ................................................................................11,371
23 For the finalization of updates to the Department of Health and Senior
24 Services Vital Records System, including necessary
25 infrastructure, security enhancements, and staff training
26 From Missouri Public Health Services Fund (1298) ...................................................1,763,000
27 For coroner trainings provided by the Missouri Coroners' and Medical
28 Examiners' Association
29 From Missouri State Coroners’ Fund (1846)....................................................... 355,482
30 Total (Not to exceed 28.94 F.T.E.) ............................................................................$4,819,901
1 Section 10.740. To the Department of Health and Senior Services
2 For the Division of Community and Public Health
3 To address coronavirus preparedness and response, provided ten
4 percent (10%) flexibility is allowed between American Rescue
5 Plan Act of 2021 grant programs in this section
6 Expense and Equipment
7 From Department of Health and Senior Services Federal Stimulus –
8 2021 Fund (2457)..............................................................................................$360,783
9 To provide coronavirus mitigation efforts, including, but not
10 limited to, testing, tracing, reporting, and related expenses,
11 provided ten percent (10%) flexibility is allowed between
12 American Rescue Plan Act of 2021 grant programs in this section
13 Personal Service...............................................................................................3,000,000
14 Expense and Equipment........................................................................... 48,309,435
15 From Department of Health and Senior Services Federal Stimulus Fund
16 (2350) .............................................................................................................51,309,435
CCS SS SCS HCS HB 2010 45
17 For Epidemiology Laboratory Capacity – Advanced Molecular
18 Detection – Public Health Lab Preparedness, provided ten
19 percent (10%) flexibility is allowed between American Rescue
20 Plan Act of 2021 grant programs in this section
21 From Department of Health and Senior Services Federal Stimulus –
22 2021 Fund (2457).............................................................................................4,634,965
23 For Strengthening Healthcare Associated Infections and Antibiotic
24 Resistance Program Capacity, provided ten percent (10%)
25 flexibility is allowed between American Rescue Plan Act of 2021
26 grant programs in this section
27 Personal Service...............................................................................................1,010,359
28 Expense and Equipment........................................................................... 2,685,803
29 From Department of Health and Senior Services Federal Stimulus –
30 2021 Fund (2457).............................................................................................3,696,162
31 To provide COVID-19 mitigation and prevention efforts,
32 including, but not limited to, testing, vaccinations, reporting, and
33 public health workforce enhancement, provided ten percent
34 (10%) flexibility is allowed between American Rescue Plan Act
35 of 2021 grant programs in this section
36 Personal Service...............................................................................................1,816,452
37 Expense and Equipment........................................................................... 35,433,359
38 From Department of Health and Senior Services Federal Stimulus –
39 2021 Fund (2457)...........................................................................................37,249,811
40 For the Disease Intervention Specialist Program to prevent the spread of
41 COVID-19 and other infectious diseases among vulnerable
42 communities, provided ten percent (10%) flexibility is allowed
43 between American Rescue Plan Act of 2021 grant programs in
44 this section
45 Personal Service..................................................................................................156,673
46 Expense and Equipment........................................................................... 2,697,407
47 From Department of Health and Senior Services Federal Stimulus –
48 2021 Fund (2457)..................................................................................... 2,854,080
49 Total (Not to exceed 26.00 F.T.E.) ........................................................................$100,105,236
1 Section 10.750. To the Department of Health and Senior Services
2 For the State Public Health Laboratory,
CCS SS SCS HCS HB 2010 46
3 including providing newborn screening services on weekends
4 and holidays, provided three percent (3%) flexibility is allowed
5 from this section to Section 10.950
6 Personal Service.............................................................................................$2,577,649
7 Expense and Equipment........................................................................... 1,137,683
8 From General Revenue Fund (1101) ...........................................................................3,715,332
9 Personal Service...............................................................................................1,262,010
10 Expense and Equipment........................................................................... 2,298,268
11 From Department of Health and Senior Services Federal Fund (1143) ......................3,560,278
12 Personal Service...............................................................................................2,077,479
13 Expense and Equipment........................................................................... 6,494,336
14 From Missouri Public Health Services Fund (1298) ...................................................8,571,815
15 Personal Service..................................................................................................521,744
16 Expense and Equipment........................................................................... 1,968,131
17 From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,489,875
18 Personal Service..................................................................................................158,666
19 Expense and Equipment........................................................................... 562,586
20 From Safe Drinking Water Fund (1679).........................................................................721,252
21 Personal Service....................................................................................................56,057
22 Expense and Equipment........................................................................... 239,452
23 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................295,509
24 Expense and Equipment
25 From Childhood Lead Testing Fund (1899) ........................................................ 65,017
26 Total (Not to exceed 109.78 F.T.E.) ........................................................................$19,419,078
1 Section 10.800. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.950
5 Personal Service...........................................................................................$15,379,274
6 Expense and Equipment........................................................................... 1,333,490
7 From General Revenue Fund (1101) .........................................................................16,712,764
8 Personal Service.............................................................................................16,431,266
CCS SS SCS HCS HB 2010 47
9 Expense and Equipment........................................................................... 1,621,325
10 From Department of Health and Senior Services Federal Fund (1143) ....................18,052,591
11 For Medicaid Home and Community-Based Services Program
12 reassessments, provided three percent (3%) flexibility is allowed
13 from this section to Section 10.950
14 Personal Service..................................................................................................943,724
15 Expense and Equipment........................................................................... 866,186
16 From General Revenue Fund (1101) ...........................................................................1,809,910
17 Personal Service..................................................................................................943,723
18 Expense and Equipment........................................................................... 866,186
19 From Department of Health and Senior Services Federal Fund (1143) ......................1,809,909
20 Expense and Equipment
21 From Health Initiatives Fund (1275) ................................................................... 31,150
22 Total (Not to exceed 624.19 F.T.E.) ........................................................................$38,416,324
1 Section 10.805. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For non-Medicaid reimbursable senior and disability programs, provided
4 three percent (3%) flexibility is allowed from this section to
5 Section 10.950
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$555,005
8 From Department of Health and Senior Services Federal Fund (1143) ......................2,924,500
9 For special health care needs programs, provided three percent (3%)
10 flexibility is allowed from this section to Section 10.950
11 Expense and Equipment
12 From General Revenue Fund (1101) ...........................................................................1,834,778
13 From Department of Health and Senior Services Federal Fund (1143) ......................1,145,238
14 From Brain Injury Fund (1742) ......................................................................................974,900
15 From C & M Smith Memorial Endowment Trust Fund (1873)........................................10,000
16 From Children’s Special Health Care Needs Service Fund (1950) ..................... 5,000
17 Total ...........................................................................................................................$7,449,421
1 Section 10.810. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
CCS SS SCS HCS HB 2010 48
3 For providing consumer directed personal care assistance services at a
4 rate not to exceed sixty percent (60%) of the average monthly
5 Medicaid cost of nursing facility care, including payments to
6 providers for value-based payment initiatives, provided ten
7 percent (10%) flexibility is allowed between this section and
8 Section 10.815 to allow flexibility within the Medicaid Home and
9 Community-Based Services Program
10 Expense and Equipment
11 From General Revenue Fund (1101) .....................................................................$256,841,615
12 From Department of Health and Senior Services Federal Fund (1143) .............. 466,816,847
13 Total .......................................................................................................................$723,658,462
1 Section 10.815. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For respite care, homemaker chore, personal care, assistive technology,
4 adult day care, AIDS, children's waiver services, home-delivered
5 meals, Programs of All Inclusive Care for the Elderly, the
6 Structured Family Caregiver Waiver, Brain Injury Waiver, other
7 related services, and program management under the Medicaid
8 fee-for-service and managed care programs, including payments
9 to providers for value-based payment initiatives, provided that
10 individuals eligible for or receiving nursing home care must be
11 given the opportunity to have those Medicaid dollars follow them
12 to the community to the extent necessary to meet their unmet
13 needs as determined by 19 CSR 30 81.030 and further be allowed
14 to choose the personal care program option, including the option
15 of assistive technology, in the community that best meets the
16 individuals' unmet needs, provided ten percent (10%) flexibility
17 is allowed between this section and Section 10.810 to allow
18 flexibility within the Medicaid Home and Community Based
19 Services Program, and further provided that individuals eligible
20 for the Medicaid Personal Care Option must be allowed to
21 choose, from among all the program options, that option which
22 best meets their unmet needs as determined by 19 CSR 30
23 81.030; and also be allowed to have their Medicaid funds follow
24 them to the extent necessary to meet their unmet needs whichever
25 option they choose. This language does not create any
26 entitlements not established by statute
27 Expense and Equipment
CCS SS SCS HCS HB 2010 49
28 From General Revenue Fund (1101) .....................................................................$241,403,940
29 From Department of Health and Senior Services Federal Fund (1143) .............. 441,206,018
30 Total .......................................................................................................................$682,609,958
1 Section 10.816. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For the purposes of funding a family complex care assistant program
4 under which a parent, guardian, family member, and any other
5 individual with a close association that is the equivalent of a
6 family relationship of an enrollee in Medicaid approved by the
7 enrollee's parent or guardian may be employed by a private duty
8 nursing agency as a Complex Care Assistant (CCA) and, under
9 the direction of a Registered Nurse, to provide CCA services to
10 the enrollee
11 From General Revenue Fund (1101) .........................................................................$3,800,000
12 From Department of Health and Senior Services Federal Fund (1143) .............. 7,200,000
13 Total .........................................................................................................................$11,000,000
1 Section 10.820. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 Funds are to be transferred out of the State Treasury to the Senior
4 Services Growth and Development Program Fund
5 From General Revenue Fund (1101) .........................................................................$8,494,746
1 Section 10.825. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For Home and Community Services grants to be distributed to the Area
4 Agencies on Aging, provided ten percent (10%) flexibility is
5 allowed from these services to meal services, and further
6 provided three percent (3%) flexibility is allowed from this
7 section to Section 10.950
8 From General Revenue Fund (1101) .........................................................................$2,074,704
9 From Department of Health and Senior Services Federal Fund (1143) ....................37,244,641
10 For distributions to the Area Agencies on Aging, in accordance with
11 Section 192.385, RSMo, which requires the deposit of a portion
12 of the premium tax collected under Sections 148.320 and
13 148.370, RSMo, to the Senior Services Growth and Development
14 Program Fund
CCS SS SCS HCS HB 2010 50
15 From Senior Services Growth and Development Program Fund (1419)...................19,530,621
16 For meals to be distributed to each Area Agency on Aging, provided that
17 at least $500,000 of general revenue be used for non-Medicaid
18 meals to be distributed to each Area Agency on Aging in
19 proportion to the actual number of meals served during the
20 preceding fiscal year, provided ten percent (10%) flexibility is
21 allowed between these services and grant services, and further
22 provided three percent (3%) flexibility is allowed from this
23 section to Section 10.950
24 Expense and Equipment
25 From General Revenue Fund (1101) .........................................................................14,898,003
26 From Department of Health and Senior Services Federal Fund (1143) ....................21,618,454
27 From Elderly Home-Delivered Meals Trust Fund (1296) ................................................62,958
28 For the Ombudsman Program operated by the Area Agencies on Aging
29 or their service providers
30 Expense and Equipment
31 From General Revenue Fund (1101) ................................................................... 150,000
32 Total .........................................................................................................................$95,579,381
1 Section 10.830. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For Alzheimer’s program grants to be used by organizations serving
4 individuals with Alzheimer’s disease and their caregivers as well
5 as providing statewide respite assistance and support programs to
6 Missouri families to ease burden, enhance quality of life, and
7 reduce the number of persons with Alzheimer’s disease who are
8 prematurely or unnecessarily institutionalized, provided three
9 percent (3%) flexibility is allowed from this section to Section
10 10.950
11 From General Revenue Fund (1101) ............................................................................$550,000
12 For caregiver training programs which include in-home visits that delay
13 the institutionalization of persons with dementia
14 From General Revenue Fund (1101) ................................................................... 650,000
15 Total ...........................................................................................................................$1,200,000
1 Section 10.835. To the Department of Health and Senior Services
CCS SS SCS HCS HB 2010 51
2 For the Division of Senior and Disability Services
3 For senior independent living programs that support seniors aging in
4 place in communities with a high concentration of older adults,
5 provided three percent (3%) flexibility is allowed from this
6 section to Section 10.950
7 From General Revenue Fund (1101) ............................................................................$200,000
1 Section 10.840. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For providing naturalization assistance to refugees and/or legal
4 immigrants who: have resided in Missouri more than five years,
5 are unable to benefit or attend classroom instruction, and who
6 require special assistance to successfully attain the requirements
7 to become a citizen. Services may include direct tutoring,
8 assistance with identifying and completing appropriate waiver
9 requests to the Immigration and Customs Enforcement agency,
10 and facilitating proper documentation. The department shall
11 award a contract under this section to a qualified not-for-profit
12 organization which can demonstrate its ability to work with this
13 population. A report shall be compiled for the General Assembly
14 evaluating the program’s effectiveness in helping senior refugees
15 and immigrants in establishing citizenship and their ability to
16 qualify individuals for Medicare
17 From General Revenue Fund (1101) ............................................................................$200,000
1 Section 10.900. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For program operations and support, provided three percent (3%)
4 flexibility is allowed from this section to Section 10.950
5 Personal Service...........................................................................................$13,646,271
6 Expense and Equipment........................................................................... 1,167,707
7 From General Revenue Fund (1101) .........................................................................14,813,978
8 Personal Service.............................................................................................13,989,032
9 Expense and Equipment........................................................................... 1,423,811
10 From Department of Health and Senior Services Federal Fund (1143) ....................15,412,843
11 Personal Service...............................................................................................1,422,531
12 Expense and Equipment........................................................................... 286,589
CCS SS SCS HCS HB 2010 52
13 From Nursing Facility Quality of Care Fund (1271) ...................................................1,709,120
14 Personal Service....................................................................................................87,497
15 Expense and Equipment........................................................................... 13,121
16 From Mammography Fund (1293) .................................................................................100,618
17 For nursing home quality initiatives
18 Expense and Equipment
19 From Nursing Facility Reimbursement Allowance Fund (1196) ...................................725,000
20 For the Bureau of Narcotics and Dangerous Drugs operations and
21 support
22 Personal Service....................................................................................................15,920
23 Expense and Equipment........................................................................... 4,115
24 From General Revenue Fund (1101) ................................................................................20,035
25 Personal Service..................................................................................................100,580
26 Expense and Equipment........................................................................... 11,192
27 From Health Access Incentive Fund (1276) ...................................................................111,772
28 Personal Service
29 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................303,472
30 For activities and equipment that further promote Cardiac Emergency
31 Plan preparedness, but not limited to the purchase of AEDs and
32 AED maintenance, the purchase of CPR training kits or CPR
33 training of faculty and staff, basic first aid training and
34 educational materials
35 From Budget Stabilization Fund (1522) ......................................................................2,000,000
36 For the Bureau of Narcotics and Dangerous Drugs for a Physician
37 Prescription Monitoring Program
38 Personal Service..................................................................................................170,488
39 Expense and Equipment........................................................................... 69,116
40 From General Revenue Fund (1101) ..............................................................................239,604
41 Personal Service
42 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................120,128
CCS SS SCS HCS HB 2010 53
43 For expending Civil Monetary Penalty funding on federally approved
44 nursing facility activities and projects
45 Expense and Equipment
46 From Nursing Facility Quality of Care Fund (1271) ...................................................4,000,000
47 For the Time Critical Diagnosis Unit
48 Personal Service..................................................................................................464,203
49 Expense and Equipment........................................................................... 356,857
50 From General Revenue Fund (1101) ................................................................... 821,060
51 Total (Not to exceed 390.78 F.T.E.) ........................................................................$40,377,630
1 Section 10.901. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For the Nursing Home Staffing Campaign (NHSC) in partnership with
4 the Centers for Medicare and Medicaid (CMS) to increase the
5 number of nurses working in nursing homes
6 Program Distribution
7 From Nursing Facility Quality of Care Fund (1271) (one-time) ...............................$2,649,459
1 Section 10.902. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For the design, plan, testing, and implementation of a new database
4 Expense and Equipment
5 From Opioid Addiction Treatment and Recovery Fund (1705)
6 (one-time) .......................................................................................................$1,700,000
1 Section 10.905. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For the Quality Improvement Program for Missouri (QIPMO) to provide
4 technical assistance to nursing homes, provided three percent
5 (3%) flexibility is allowed from this section to Section 10.950
6 From Nursing Facility Reimbursement Allowance Fund (1196) ..............................$1,209,926
1 Section 10.910. To the Department of Health and Senior Services
2 For the Division of Cannabis Regulation
3 For medical marijuana program operations and support, provided ten
4 percent (10%) flexibility is allowed between personal service and
5 expense and equipment
6 Personal Service.............................................................................................$1,881,115
CCS SS SCS HCS HB 2010 54
7 Expense and Equipment........................................................................... 3,167,458
8 From Missouri Veterans’ Health and Care Fund (1606) .............................................5,048,573
9 For adult use cannabis program operations and support, provided ten
10 percent (10%) flexibility is allowed between personal service and
11 expense and equipment
12 Personal Service...............................................................................................9,171,823
13 Expense and Equipment........................................................................... 5,568,740
14 From Veterans, Health, and Community Reinvestment Fund (1608) .......................14,740,563
15 For grants to agencies and not-for-profit organizations, whether
16 government or community-based, to increase access to evidence
17 based low-barrier drug addiction treatment, prioritizing
18 medically proven treatment and overdose prevention and reversal
19 methods and public or private treatment options with an emphasis
20 on reintegrating recipients into their local communities; to
21 support overdose prevention education; and to support job
22 placement, housing, and counseling for those with substance use
23 disorders. When evaluating grant applications, agencies and
24 organizations serving populations with the highest rates of drug
25 related overdose shall be prioritized to receive the grants
26 From Health Reinvestment Fund (1640) ............................................................. 3,870,000
27 Total (Not to exceed 155.50 F.T.E.) ........................................................................$23,659,136
1 Section 10.915. To the Department of Health and Senior Services
2 For a grant to the Department of Mental Health
3 Funds are to be transferred out of the State Treasury for substance
4 abuse disorder treatment and education programs as provided by
5 Article XIV, Section 2 of the Missouri Constitution, to the Mental
6 Health Reinvestment Fund, provided the state treasurer shall
7 invest monies in the fund in the same manner as other funds are
8 invested, and any interest and monies earned on such investments
9 shall be deposited to the credit of the Mental Health
10 Reinvestment Fund, and further provided that any monies
11 remaining in the Mental Health Reinvestment Fund at the end of
12 the biennium shall not revert to the credit of the General Revenue
13 Fund
14 From Health Reinvestment Fund (1640) (including $300,000 one-time) ...............$28,508,596
CCS SS SCS HCS HB 2010 55
1 Section 10.920. To the Department of Health and Senior Services
2 For a grant to the Department of Corrections
3 Funds are to be transferred out of the State Treasury for substance
4 abuse disorder treatment and education programs as provided by
5 Article XIV, Section 2 of the Missouri Constitution, to the
6 Corrections Reinvestment Fund, provided the state treasurer shall
7 invest monies in the fund in the same manner as other funds are
8 invested, and any interest and monies earned on such investments
9 shall be deposited to the credit of the Corrections Reinvestment
10 Fund, and further provided that any monies remaining in the
11 Corrections Reinvestment Fund at the end of the biennium shall
12 not revert to the credit of the General Revenue Fund
13 From Health Reinvestment Fund (1640) ...................................................................$1,803,929
1 Section 10.925. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for health
3 and care services for military veterans as provided by Article
4 XIV, Section 1 of the Missouri Constitution, to the Missouri
5 Veterans' Homes Fund, and further provided that any monies
6 remaining in the fund at the end of a biennium shall not revert to
7 the credit of the General Revenue Fund
8 From Missouri Veterans’ Health and Care Fund (1606) .........................................$13,000,000
1 Section 10.930. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for substance
3 abuse disorder treatment and education programs as provided by
4 Article XIV, Section 2 of the Missouri Constitution, to the Health
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 Health Reinvestment Fund,
9 and further provided that any monies remaining in the Health
10 Reinvestment Fund at the end of the biennium shall not revert to
11 the credit of the General Revenue Fund
12 From Veterans, Health, and Community Reinvestment Fund (1608)
13 (including $20,018,276 one-time)................................................................$40,018,276
CCS SS SCS HCS HB 2010 56
14 Funds are to be transferred out of the State Treasury for public
15 defenders as provided by Article XIV, Section 2 of the Missouri
16 Constitution, to the Public Defender Reinvestment Fund,
17 provided the state treasurer shall invest monies in the fund in the
18 same manner as other funds are invested, and any interest and
19 monies earned on such investments shall be deposited to the
20 credit of the Public Defender Reinvestment Fund, and further
21 provided that any monies remaining in the Public Defender
22 Reinvestment Fund at the end of the biennium shall not revert to
23 the credit of the General Revenue Fund
24 From Veterans, Health, and Community Reinvestment Fund (1608)
25 (including $31,700,260 one-time)..................................................................51,700,260
26 Funds are to be transferred out of the State Treasury for health
27 and care services for military veterans as provided by Article
28 XIV, Section 2 of the Missouri Constitution, to the Missouri
29 Veterans’ Homes Fund, provided the state treasurer shall invest
30 monies in the fund in the same manner as other funds are
31 invested, and any interest and monies earned on such investments
32 shall be deposited to the credit of the Missouri Veterans’ Homes
33 Fund, and further provided that any monies remaining in the
34 Missouri Veterans’ Homes Fund at the end of the biennium shall
35 not revert to the credit of the General Revenue Fund
36 From Veterans, Health, and Community Reinvestment Fund (1608)
37 (including $20,018,276 one-time)............................................................ 40,018,276
38 Total .......................................................................................................................$131,736,812
1 Section 10.950. To the Department of Health and Senior Services
2 Funds are to be transferred out of the State Treasury for the
3 payment of claims, premiums, and expenses as provided by
4 Section 105.711 through 105.726, RSMo, to the State Legal
5 Expense Fund
6 From General Revenue Fund (1101) .......................................................................................$1
PART 2
1 Section 10.2005. To the Department of Mental Health
2 In reference to Sections 10.105, 10.115, 10.130, 10.142, 10.143,
3 and 10.160 of Part 1 of this act:
CCS SS SCS HCS HB 2010 57
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2026, with the
6 exception of providers of children’s residential services classified
7 as an Institution of Mental Disease (IMD) Qualified Residential
8 Treatment Program (QRTP) or as a non-IMD QRTP, for which
9 no funds shall be expended in furtherance of rates greater than:
10 $194.47 per day for Level II, $239.16 per day for Level III,
11 $253.80 per day for Level IV; and further excepting provider
12 rates for outpatient competency restoration services, for which no
13 funds shall be expended in furtherance of rates greater than those
14 based on actuarially sound PPS rates, and further excepting the
15 jail based and other detention facility based outpatient
16 competency restoration rates, for which no funds shall be
17 expended in furtherance of greater than $90 per bed day.
1 Section 10.2010. To the Department of Mental Health
2 In reference to Sections 10.115 and 10.120 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2025, with the
5 exception of Recovery Support Services, for which no funds shall
6 be expended in furtherance of rates greater than: $34.46 for
7 Individual Counseling, $44.57 for Recovery Housing, $12.60 for
8 Care Coordination, $22.15 for Peer Support, and $4.08 for Group
9 Rehabilitative Support.
1 Section 10.2015. To the Department of Mental Health
2 In reference to Section 10.410 of Part 1 of this act:
3 No funds shall be expended in furtherance of waiver slots
4 assigned on July 1, 2026 except for: 50 additional waiver slots
5 for Crisis Residential Services, 27 additional slots for individuals
6 transitioning from Nursing Homes, 39 additional slots for
7 children transitioning from DSS Children's Division funded
8 waiver slots, and 11 additional waiver slots for children
9 transitioning out of the MoCDD Waiver.
1 Section 10.2020. To the Department of Mental Health
2 In reference to Section 10.410 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2026, and further
CCS SS SCS HCS HB 2010 58
5 excepting rates for day habilitation services, for which no funds
6 shall be expended in furtherance of rates greater than: $10.81 per
7 15 minute unit/$43.24 per hour for day habitation, $12.30 per 15
8 minute unit/$49.20 per hour for day habilitation behavior, and
9 $12.14 per 15 minute unit/$48.56 per hour for day habilitation
10 medical; and further excepting rates for self-directed services, for
11 which no funds shall be expended in furtherance of rates greater
12 than: $8.25 per 15 minute unit/$33.00 per hour for personal
13 assistant, $9.19 per 15 minute unit/$36.76 per hour for personal
14 assistant-medical exception, and $8.25 per 15 minute unit/$33.00
15 per hour for personal assistant scheduled team conference.
1 Section 10.2025. To the Department of Mental Health
2 In reference to Section 10.415 of Part 1 of this act:
3 No funds shall be expended in furtherance of a DD Health Home
4 rate of $105.90 PMPM.
1 Section 10.2030. To the Department of Health and Senior Services
2 In reference to Sections 10.805, 10.810, 10.815, and 10.825 of
3 Part 1 of this act:
4 No funds shall be expended in furtherance of provider rates
5 greater than the rate in effect on January 1, 2025, except Private
6 Duty Nursing rates for which no funds shall be expended in
7 furtherance of provider rates for Private Duty Nursing greater
8 than a rate of $15.20 per fifteen-minute unit of service, and
9 further excepting provider reassessment services rates, for which
10 no funds shall be expended in furtherance of rates greater than
11 $100 per assessment, unless such provider is enrolled in the
12 Value Based Purchasing Reassessment Program, and further
13 excepting the Medicaid Home-Delivered Meals rates for which
14 no funds shall be expended in furtherance of provider rates for
15 Medicaid Home-Delivered Meals not greater than the lesser of
16 actual costs or $10.99 per meal.
1 Section 10.2040. To the Department of Health and Senior Services
2 In reference to Section 10.815 of Part 1 of this act:
3 No funds shall be expended in furtherance of Independent Living
4 Waiver personal care hours beyond the 60% cost cap Medicaid
CCS SS SCS HCS HB 2010 59
5 State Plan personal care hours of more than 49 hours per week,
6 or 7 hours per day, per waiver participant.
1 Section 10.2045. To the Department of Health and Senior Services
2 In reference to Section 10.815 of Part 1 of this act:
3 No funds shall be expended in furtherance of Aged and Disabled
4 Waiver Respite Care hours of more than 49 hours per week, or 7
5 hours per day, per waiver participant.
PART 3
1 Section 10.3005. To the Department of Mental Health
2 In reference to Sections 10.005 through and including 10.575 in
3 of Part 1 of this act:
4 The Department shall provide monthly reports to the House
5 Budget and Senate Appropriations Committee Chairs and
6 Ranking Members for each DMH Medicaid waiver, large service
7 type by waiver, value-based payments, and targeted case
8 management costs: 1) The actual federal and state share
9 expenditures by appropriation and fund, number of waiver slots
10 assigned, average cost per slot, estimated current fiscal year
11 costs, estimated full fiscal year costs; 2) The actual federal and
12 state share expenditures by appropriation and fund, number of
13 new waiver slots assigned in FY 2027, average cost per slot,
14 estimated current fiscal year costs, estimated full fiscal year
15 costs; and 3) The number of individuals presenting for service
16 that have not been assigned a waiver slot, estimated current fiscal
17 year federal and state share costs if they were to be assigned,
18 estimated full fiscal year costs if they were to be assigned.
1 Section 10.3010. To the Department of Mental Health
2 In reference to Sections 10.005 through and including 10.575 in
3 of Part 1 of this act:
4 The Department shall provide monthly reports to the House
5 Budget and Senate Appropriations Committee Chairs and
6 Ranking Members the actual overtime paid by month in the
7 current fiscal year, the estimate of overtime to be paid in the
CCS SS SCS HCS HB 2010 60
8 current fiscal year by month, the cumulative number of accrued
9 overtime hours for department employees, and the dollar
10 equivalent of such overtime hours.
1 Section 10.3012. To the Department of Health and Senior Services
2 In reference to Section 10.825 of Part 1 of this act:
3 The Department shall provide cumulative quarterly reports to the
4 House Budget and Senate Appropriations Committee Chairs no
5 more than 45 days upon the end of each quarter for each service
6 category and the related administrative costs provided by each
7 Area Agency on Aging: 1) the actual federal and state share
8 expenditures by quarter to date by appropriation and fund,
9 projected full state fiscal year costs; 2) the actual total units
10 delivered by quarter to date, projected units to be delivered for
11 the full state fiscal year; 3) the number of individuals presenting
12 for service that have not been served by quarter to date, including
13 the projected costs to serve them annually.
1 Section 10.3015. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 and Part 2 of this act:
4 The Departments shall provide written notification and
5 correspondence from the federal government of non-compliance
6 with federal programs or grants to the House Budget and Senate
7 Appropriations Committee Chairs and Ranking Members.
1 Section 10.3020. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 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 Appropriations Committee Chairs and Ranking Members.
1 Section 10.3025. To the Department of Mental Health and the
2 Department of Health and Senior Services
CCS SS SCS HCS HB 2010 61
3 In reference to all sections in Part 1 and Part 2 of this act:
4 The Department shall provide copies of financial reports,
5 maintenance of effort reports, and public assistance cost
6 allocation plans submitted to the federal government and
7 supporting cash on hand reports, by grant, to the House Budget
8 and Senate Appropriations Committee Chairs and Ranking
9 Members.
1 Section 10.3030. To the Department of Mental Health
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification of spend plans
4 and spend plan amendments to the House Budget and Senate
5 Appropriations Committee Chairs and Ranking Members prior to
6 submission to the federal government and prior to expenditure of
7 such funds.
1 Section 10.3032. To the Department of Health and Senior Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification of Home and
4 Community-Based Services spend plans and spend plan
5 amendments to the House Budget and Senate Appropriations
6 Committee Chairs and Ranking Members prior to submission to
7 the federal government and prior to expenditure of such funds.
Department of Mental Health Totals
General Revenue Fund (4,952.32 F.T.E.) ...........................................................$1,745,888,421
Federal Funds (2,259.63 F.T.E.) ...........................................................................2,605,171,337
Other Funds (27.10 F.T.E.) ................................................................................. 142,522,502
Total (7,239.05 F.T.E.) .......................................................................................$4,493,582,260
Department of Health and Senior Services Totals
General Revenue Fund (649.93 F.T.E.) .................................................................$614,023,653
Federal Funds (979.33 F.T.E.) ..............................................................................1,449,396,448
Other Funds (314.19 F.T.E.) ............................................................................... 84,336,059
Total (1,943.45 F.T.E.) .......................................................................................$2,147,756,160
Every fact on this page links to its source, starting with the official bill record.