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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. 2011
2011H.07T 103RD GENERAL ASSEMBLY
2026
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Social Services, and the several divisions and programs thereof, to be expended only
as provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer
money among certain funds for the period beginning July 1, 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 11.000. Each appropriation in this act shall consist of the item
2 or items in each section of Part 1 of this act, for the amount and
3 purpose and from the fund designated in each section of Part 1,
4 as well as all additional clarifications of purpose in Part 2 of this
5 act that make reference by section to said item or items in Part
6 1. Any clarification of purpose in Part 2 shall state the section or
7 sections in Part 1 to which it attaches and shall, together with the
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8 language of said section(s) in Part 1, form the complete statement
9 of purpose of the appropriation. As such, the provisions of Part
10 2 of this act shall not be severed from Part 1, and if any
11 clarification of purpose in Part 2 is for any reason held to be
12 invalid, such decision shall invalidate all of the appropriations in
13 this act of which said clarification of purpose is a part. Part 3 of
14 this act shall consist of guidance to the Department of Social
15 Services in implementing the appropriations found in Part 1 and
16 Part 2 of this act. An appropriation may be comprised in whole
17 or in part of a one-time amount, and such one-time amount shall
18 be construed to be a component part of, and not in addition to, the
19 stated appropriation amount. Any amount of an appropriation
20 identified as “one-time” in this act shall not be considered an
21 addition to any ongoing core appropriation(s) in future fiscal
22 periods beyond June 30, 2027. Any amount identified as one-time
23 may, however, be requested in any future fiscal period as a new
24 decision item.
1 Section 11.005. To the Department of Social Services
2 For the Office of the Director
3 For the Director's Office, provided three percent (3%) flexibility is
4 allowed from this section to Section 11.910
5 Personal Service................................................................................................$182,958
6 Expense and Equipment........................................................................... 27,770
7 From General Revenue Fund (1101) ..............................................................................210,728
8 Personal Service..................................................................................................164,486
9 Expense and Equipment........................................................................... 1,197
10 From Department of Social Services Federal Fund (1610) ............................................165,683
11 Personal Service
12 From Child Support Enforcement Fund (1169)................................................... 44,008
13 Total (Not to exceed 2.93 F.T.E.) .................................................................................$420,419
1 Section 11.007. To the Department of Social Services
2 For the Office of the Director
3 For the Technology Unit
4 Personal Service
5 From General Revenue Fund (1101) ..............................................................................$54,080
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6 From Department of Social Services Federal Fund (1610) ................................. 162,239
7 Total (Not to exceed 2.00 F.T.E.) .................................................................................$216,319
1 Section 11.010. To the Department of Social Services
2 For the Office of the Director
3 For receiving and expending grants, donations, contracts, and payments
4 from private, federal, and other governmental agencies which
5 may become available between sessions of the General Assembly
6 provided that the General Assembly shall be notified of the
7 source of any new funds and the purpose for which they shall be
8 expended, in writing, prior to the use of said funds
9 From Department of Social Services Federal Fund (1610) .......................................$2,000,000
10 From Family Services Donations Fund (1167).................................................... 33,999
11 Total ...........................................................................................................................$2,033,999
1 Section 11.015. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the OA
3 Information Technology Federal Fund
4 From Department of Social Services Federal Fund (1610) .......................................$3,687,812
1 Section 11.020. To the Department of Social Services
2 For the Office of the Director
3 For implementation on the citizen engagement platform of a Medicaid
4 application providing transparency and two-way communication
5 for efficient application processing and data collection as well as
6 additional functionality necessary to improve efficiency in
7 processing applications for assistance, provided the department
8 shall procure services in compliance with Chapter 34, RSMo
9 From General Revenue Fund (1101) ............................................................................$400,000
10 From Department of Social Services Federal Fund (1610) ................................. 3,600,000
11 Total ...........................................................................................................................$4,000,000
1 Section 11.025. To the Department of Social Services
2 For the Office of the Director
3 For the Human Resources Center, provided three percent (3%) flexibility
4 is allowed from this section to Section 11.910
5 Personal Service................................................................................................$396,374
6 Expense and Equipment........................................................................... 9,919
7 From General Revenue Fund (1101) ..............................................................................406,293
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8 Personal Service..................................................................................................215,737
9 Expense and Equipment........................................................................... 28,596
10 From Department of Social Services Federal Fund (1610) ............................................244,333
11 Personal Service
12 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 28,577
13 Total (Not to exceed 10.50 F.T.E.) ...............................................................................$679,203
1 Section 11.030. To the Department of Social Services
2 For the Office of the Director
3 For the State Technical Assistance Team (STAT)
4 For the prevention and investigation of child abuse, child neglect, child
5 sexual abuse, child exploitation/pornography or child fatality
6 cases, as described in Sections 660.520 to 660.528, RSMo, and
7 for administrative expenses, provided five percent (5%)
8 flexibility is allowed between personal service and expense and
9 equipment; and further provided three percent (3%) flexibility is
10 allowed from this section to Section 11.910
11 Personal Service.............................................................................................$1,737,248
12 Expense and Equipment........................................................................... 223,786
13 From General Revenue Fund (1101) ...........................................................................1,961,034
14 For the Critical Event Program Staff
15 Personal Service
16 From General Revenue Fund (1101) ................................................................... 334,412
17 Total (Not to exceed 33.50 F.T.E.) ............................................................................$2,295,446
1 Section 11.035. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit, provided five
4 percent (5%) flexibility is allowed between personal service and
5 expense and equipment, and further provided three percent (3%)
6 flexibility is allowed from this section to Section 11.910
7 Personal Service.............................................................................................$1,991,058
8 Expense and Equipment........................................................................... 404,161
9 From General Revenue Fund (1101) ...........................................................................2,395,219
10 Personal Service...............................................................................................2,469,670
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11 Expense and Equipment........................................................................... 900,493
12 From Department of Social Services Federal Fund (1610) .........................................3,370,163
13 Expense and Equipment
14 From Recovery Audit and Compliance Fund (1974) .......................................................82,087
15 Personal Service..................................................................................................342,361
16 Expense and Equipment........................................................................... 141,946
17 From Medicaid Provider Enrollment Fund (1990) .........................................................484,307
18 For the purposes of expanding efforts to eliminate fraud, waste, and
19 abuse within benefit programs, including MO HealthNet, through
20 proactive measures utilizing data analytics, as well as in response
21 to strategies identified through national efforts to enhance
22 program integrity
23 Personal Service..................................................................................................148,963
24 Expense and Equipment (including $25,957 one-time)........................... 51,312
25 From General Revenue Fund (1101) ..............................................................................200,275
26 Personal Service..................................................................................................117,041
27 Expense and Equipment (including $20,395 one-time)........................... 40,318
28 From Department of Social Services Federal Fund (1610) ................................. 157,359
29 Total (Not to exceed 94.05 F.T.E.) ............................................................................$6,689,410
1 Section 11.040. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
4 For a case management, provider enrollment, and fraud abuse and
5 detection system, provided three percent (3%) flexibility is
6 allowed from this section to Section 11.910
7 Expense and Equipment
8 From General Revenue Fund (1101) .........................................................................$1,141,709
9 From Department of Social Services Federal Fund (1610) ................................. 5,858,291
10 Total ...........................................................................................................................$7,000,000
1 Section 11.045. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
4 For the design, development, implementation, maintenance, and
5 operation costs for a Medicaid provider enrollment system
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6 Expense and Equipment
7 From General Revenue Fund (1101) .........................................................................$5,271,026
8 From Department of Social Services Federal Fund (1610) ................................. 12,639,235
9 Total .........................................................................................................................$17,910,261
1 Section 11.050. To the Department of Social Services
2 For the Office of the Director
3 For the Missouri Medicaid Audit and Compliance Unit
4 For recovery audit services
5 Expense and Equipment
6 From Recovery Audit and Compliance Fund (1974) ................................................$1,200,000
1 Section 11.052. To the Department of Social Services
2 For the Office of the Director
3 For the Department of Social Services Systems Information Technology
4 Operations and Procurement, for the purpose of providing
5 technology and procurement operations and support for program-
6 specific applications, business function security, project
7 management, and agency-level Information Technology
8 procurements for the purpose of providing efficiency and
9 maintaining compliance with state and federal standards across
10 the Social Services programs, provided fifty percent (50%)
11 flexibility is allowed between personal service and expense and
12 equipment
13 Personal Service.............................................................................................$6,230,714
14 Expense and Equipment (including $40,365 one-time)........................... 12,975,245
15 From General Revenue Fund (1101) .........................................................................19,205,959
16 Personal Service...............................................................................................7,319,262
17 Expense and Equipment (including $54,027 one-time)........................... 27,168,327
18 From Department of Social Services Federal Fund (1610) .......................................34,487,589
19 Personal Service...............................................................................................2,357,176
20 Expense and Equipment........................................................................... 6,373,546
21 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 8,730,722
22 Total (Not to exceed 185.24 F.T.E.) ........................................................................$62,424,270
1 Section 11.053. To the Department of Social Services
2 For the Office of the Director
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3 In accordance with Executive Orders 26-02 and 26-03, funds are
4 provided to the Division of Information Technology to establish
5 a shared artificial intelligence (AI) development environment,
6 including necessary tooling, platforms, and dedicated personnel.
7 This infrastructure shall serve as a foundational capability
8 available to state agencies for the responsible and secure
9 integration of AI into government operations. Funding shall
10 support workforce productivity tools and modernization efforts
11 that reduce manual processes and improve the delivery of
12 services to Missouri citizens
13 From General Revenue Fund (1101) .........................................................................$1,000,000
1 Section 11.055. To the Department of Social Services
2 For the Division of Finance and Administrative Services, provided three
3 percent (3%) flexibility is allowed from this section to Section
4 11.910
5 Personal Service.............................................................................................$2,642,270
6 Expense and Equipment (including $17,289 one-time)........................... 381,091
7 From General Revenue Fund (1101) ...........................................................................3,023,361
8 Personal Service...............................................................................................1,604,146
9 Expense and Equipment (including $23,148 one-time)........................... 307,464
10 From Department of Social Services Federal Fund (1610) .........................................1,911,610
11 Personal Service......................................................................................................5,246
12 Expense and Equipment........................................................................... 317
13 From Department of Social Services Administrative Trust Fund (1545)...........................5,563
14 Personal Service....................................................................................................65,736
15 Expense and Equipment........................................................................... 750
16 From Child Support Enforcement Fund (1169)................................................................66,486
17 For the centralized inventory system, for reimbursable goods and
18 services provided by the department, and for related equipment
19 replacement and maintenance expenses
20 From Department of Social Services Administrative Trust Fund (1545)............ 1,200,000
21 Total (Not to exceed 58.52 F.T.E.) ............................................................................$6,207,020
1 Section 11.060. To the Department of Social Services
CCS SS SCS HCS HB 2011 8
2 For the Division of Finance and Administrative Services
3 For the Child Welfare Eligibility Unit
4 For administrative expenses, provided five percent (5%) flexibility is
5 allowed between personal service and expense and equipment
6 Personal Service................................................................................................$881,572
7 Expense and Equipment........................................................................... 21,300
8 From General Revenue Fund (1101) ..............................................................................902,872
9 Personal Service..................................................................................................779,815
10 Expense and Equipment........................................................................... 18,964
11 From Department of Social Services Federal Fund (1610) ................................. 798,779
12 Total (Not to exceed 35.00 F.T.E.) ............................................................................$1,701,651
1 Section 11.065. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the Compliance Services Unit
4 For administrative expenses
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$218,288
7 From Victims of Crime Act Federal Fund (1146) ..........................................................178,134
8 From Temporary Assistance for Needy Families Federal Fund (1199) .........................255,985
9 From Department of Social Services Federal Fund (1610) ............................................130,919
10 For contracted compliance monitoring and fiscal monitoring services
11 Expense and Equipment
12 From Department of Social Services Federal Fund (1610) .........................................1,031,110
13 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 578,663
14 Total (Not to exceed 11.00 F.T.E.) ............................................................................$2,393,099
1 Section 11.070. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the payment of fees to contractors who engage in revenue
4 maximization projects on behalf of the Department of Social
5 Services and the General Assembly
6 From Department of Social Services Federal Fund (1610) ..........................................$450,000
7 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 150,000
8 Total ..............................................................................................................................$600,000
1 Section 11.075. To the Department of Social Services
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2 For the Division of Finance and Administrative Services
3 For the receipt and disbursement of refunds and incorrectly deposited
4 receipts to allow the over-collection of accounts receivables to be
5 paid back to the recipient, provided ten percent (10%) flexibility
6 is allowed between federal and other funds within this section
7 From Title XIX - Adult Expansion Federal Fund (1358) .............................................$450,000
8 From FMAP Enhancement-Expansion Fund (2466) ......................................................450,000
9 From Federal and Other Fund (1189) ..........................................................................1,500,000
10 From Department of Social Services Federal Fund (1610) .........................................5,025,000
11 From Temporary Assistance for Needy Families Federal Fund (1199) ...........................27,000
12 From Title XIX Department of Social Services Medicaid Assistance
13 Federal Fund (1163).......................................................................................10,250,000
14 From Third Party Liability Collections Fund (1120)......................................................369,000
15 From Victims of Crime Act Federal Fund (1146) ..........................................................500,000
16 From Title XXI Children’s Health Insurance Program Federal Fund
17 (1159) ...............................................................................................................1,500,000
18 From Pharmacy Rebates Fund (1114) ..............................................................................25,000
19 From Premium Fund (1885) ........................................................................................5,500,000
20 From Department of Social Services Federal Stimulus Fund (2355) .............................750,000
21 From Department of Social Services Federal Stimulus – 2021 Fund
22 (2456) ....................................................................................................... 200,000
23 Total .........................................................................................................................$26,546,000
1 Section 11.080. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For payments to counties and the City of St. Louis for the care and
4 maintenance of each delinquent or dependent child as provided
5 in Section 211.156, RSMo, provided three percent (3%)
6 flexibility is allowed from this section to Section 11.910
7 From General Revenue Fund (1101) .........................................................................$1,324,062
1 Section 11.085. To the Department of Social Services
2 For the Division of Legal Services administrative expenses, provided
3 three percent (3%) flexibility is allowed from this section to
4 Section 11.910
5 Personal Service.............................................................................................$3,527,170
6 Expense and Equipment........................................................................... 146,300
7 From General Revenue Fund (1101) ...........................................................................3,673,470
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8 Personal Service...............................................................................................2,100,033
9 Expense and Equipment........................................................................... 141,064
10 From Department of Social Services Federal Fund (1610) .........................................2,241,097
11 Personal Service..................................................................................................749,526
12 Expense and Equipment........................................................................... 230,773
13 From Temporary Assistance for Needy Families Federal Fund (1199) .........................980,299
14 Personal Service..................................................................................................719,349
15 Expense and Equipment........................................................................... 91,158
16 From Third Party Liability Collections Fund (1120)......................................................810,507
17 Personal Service
18 From Child Support Enforcement Fund (1169)................................................... 178,880
19 Total (Not to exceed 115.04 F.T.E.) ..........................................................................$7,884,253
1 Section 11.090. To the Department of Social Services
2 For the Division of Legal Services
3 For permanency attorneys and permanency attorney contracted services,
4 including reunification, guardianship, adoption, or termination of
5 parental rights, for children in the care, custody, or involved with
6 the Children’s Division, provided twenty five percent (25%)
7 flexibility is allowed from expense and equipment to personal
8 service, and further provided fifty percent (50%) flexibility is
9 allowed from personal service to expense and equipment, and
10 further provided ten percent (10%) flexibility is allowed between
11 Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485,
12 11.495, and 11.500
13 Personal Service.............................................................................................$4,349,951
14 Expense and Equipment........................................................................... 1,386,211
15 From General Revenue Fund (1101) ...........................................................................5,736,162
16 Personal Service...............................................................................................2,052,820
17 Expense and Equipment........................................................................... 915,506
18 From Department of Social Services Federal Fund (1610) .........................................2,968,326
19 Personal Service
20 From Temporary Assistance for Needy Families Federal Fund (1199) .........................252,379
21 Personal Service
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22 From Third Party Liability Collections Fund (1120)........................................................67,045
23 Personal Service
24 From Child Support Enforcement Fund (1169)................................................................14,061
25 For Title IV-E reimbursements to counties, the City of St. Louis, and
26 other organizations who receive public dollars for the legal
27 representation of parents and children in juvenile or family courts
28 From Department of Social Services Federal Fund (1610) ............................................600,000
29 For non-recurring adoption or legal guardianship expenses related to
30 permanency, including but not limited to: reasonable and
31 necessary adoption fees, court costs, attorney fees and other
32 expenses which are directly related to the legal adoption or legal
33 guardianship
34 From General Revenue Fund (1101) ...........................................................................2,019,345
35 From Department of Social Services Federal Fund (1610) ............................................826,778
36 From Temporary Assistance for Needy Families Federal Fund (1199) .........................208,177
37 For a program to provide legal representation for parents of children who
38 are the subject of child abuse and neglect investigations under
39 Chapter 210 and potential court proceedings under Chapter 211
40 From Department of Social Services Federal Fund (1610) ................................. 150,000
41 Total (Not to exceed 80.00 F.T.E.) ..........................................................................$12,842,273
1 Section 11.095. To the Department of Social Services
2 For the Division of Legal Services
3 For a not-for-profit organization to provide legal assistance for kinship
4 placements with non-contested guardianship cases in a county
5 with more than seven hundred thousand but fewer than eight
6 hundred thousand inhabitants, and a county with more than two
7 hundred thirty thousand but fewer than two hundred sixty
8 thousand inhabitants, and a county with more than one hundred
9 thousand but fewer than one hundred twenty thousand inhabitants
10 and with a county seat with more than four thousand but fewer
11 than six thousand inhabitants, and a county with more than one
12 hundred thousand but fewer than one hundred twenty thousand
13 inhabitants, and with a county seat with more than nine thousand
14 but fewer than eleven thousand inhabitants, and in a county with
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15 more than twenty-two thousand but fewer than twenty-five
16 thousand inhabitants and with a county seat with more than nine
17 thousand but fewer than twelve thousand five hundred
18 inhabitants, and in a county with more than one hundred fifty
19 thousand but fewer than two hundred thousand inhabitants, and
20 in a county with more than forty thousand but fewer than fifty
21 thousand inhabitants and with a county seat with more than ten
22 thousand but fewer than fourteen thousand inhabitants, and in a
23 county with more than seventy thousand but fewer than eighty
24 thousand inhabitants, and in a county with more than fourteen
25 thousand but fewer than fifteen thousand seven hundred
26 inhabitants and with a county seat with more than three thousand
27 but fewer than four thousand five hundred fifty inhabitants, to
28 help children remain safely with kinship caregivers and prevent
29 the need for foster care placement
30 From General Revenue Fund (1101) ............................................................................$200,000
1 Section 11.096. To the Department of Social Services
2 For the Division of Legal Services
3 For a 501(c)(3) non-profit organization, founded in 1989 and located in
4 a city with more than one hundred sixty thousand but fewer than
5 two hundred thousand inhabitants, whose mission is to recruit,
6 train and support community volunteers who assist the court in
7 protecting the best interests of abused and neglected children in
8 Southwest Missouri, for the purpose of program expansion and
9 services into surrounding counties
10 From Department of Social Services Federal Fund (1610) (one-time) ........................$200,000
1 Section 11.100. To the Department of Social Services
2 For the Family Support Division, provided three percent (3%) flexibility
3 is allowed from this section to Section 11.910
4 Personal Service.............................................................................................$2,697,796
5 Expense and Equipment........................................................................... 70,690
6 From General Revenue Fund (1101) ...........................................................................2,768,486
7 Personal Service...............................................................................................3,361,874
8 Expense and Equipment........................................................................... 5,511,919
9 From Department of Social Services Federal Fund (1610) .........................................8,873,793
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10 Personal Service....................................................................................................51,137
11 Expense and Equipment........................................................................... 501,513
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................552,650
13 Personal Service
14 From Child Support Enforcement Fund (1169)................................................... 657,029
15 Total (Not to exceed 109.80 F.T.E.) ........................................................................$12,851,958
1 Section 11.104. To the Department of Social Services
2 For the Family Support Division
3 For the income maintenance Quality Assurance Team
4 Personal Service................................................................................................$266,614
5 Expense and Equipment........................................................................... 4,916
6 From General Revenue Fund (1101) ..............................................................................271,530
7 Personal Service..................................................................................................799,841
8 Expense and Equipment........................................................................... 14,749
9 From Department of Social Services Federal Fund (1610) ................................. 814,590
10 Total (Not to exceed 23.00 F.T.E.) ............................................................................$1,086,120
1 Section 11.105. To the Department of Social Services
2 For the Family Support Division
3 For the income maintenance field staff and operations, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 11.910
6 Personal Service...........................................................................................$36,426,688
7 Expense and Equipment........................................................................... 7,700,582
8 From General Revenue Fund (1101) .........................................................................44,127,270
9 Personal Service.............................................................................................34,614,212
10 Expense and Equipment........................................................................... 14,039,027
11 From Department of Social Services Federal Fund (1610) .......................................48,653,239
12 Personal Service..................................................................................................434,233
13 Expense and Equipment........................................................................... 95,138
14 From Temporary Assistance for Needy Families Federal Fund (1199) .........................529,371
15 Personal Service...............................................................................................1,037,345
16 Expense and Equipment........................................................................... 27,924
17 From Health Initiatives Fund (1275) ................................................................... 1,065,269
18 Total (Not to exceed 1,556.23 F.T.E.) .....................................................................$94,375,149
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1 Section 11.106. To the Department of Social Services
2 For the Family Support Division
3 For the Medical Review Team (MRT)
4 For administrative expenses
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$226,254
7 From Department of Social Services Federal Fund (1610) ................................. 678,763
8 Total (Not to exceed 21.00 F.T.E.) ...............................................................................$905,017
1 Section 11.107. To the Department of Social Services
2 For the Family Support Division
3 For contracted services to support Medicaid eligibility renewal
4 processing and the development of training materials to support
5 ongoing operations
6 Expense and Equipment
7 From General Revenue Fund (1101) .........................................................................$2,310,000
8 From Department of Social Services Federal Fund (1610) ................................. 6,930,000
9 Total ...........................................................................................................................$9,240,000
1 Section 11.110. To the Department of Social Services
2 For the Family Support Division
3 For the Income Maintenance (IM) Call Center
4 For state operated and contracted call center administrative and
5 operational expenses, provided ten percent (10%) flexibility is
6 allowed between subsections within this section
7 For Medicaid and Children’s Health Insurance Program (CHIP)
8 eligibility
9 Personal Service................................................................................................$920,389
10 Expense and Equipment........................................................................... 1,544,470
11 From General Revenue Fund (1101) ...........................................................................2,464,859
12 Personal Service...............................................................................................2,768,127
13 Expense and Equipment........................................................................... 4,632,904
14 From Department of Social Services Federal Fund (1610) .........................................7,401,031
15 For Adult Expansion Group (AEG) eligibility, as described in Section
16 36(c) of Article IV of the Missouri Constitution
17 Personal Service..................................................................................................315,567
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18 Expense and Equipment .......................................................................... 540,473
19 From General Revenue Fund (1101) ..............................................................................856,040
20 Personal Service..................................................................................................965,469
21 Expense and Equipment........................................................................... 1,621,418
22 From Department of Social Services Federal Fund (1610) .........................................2,586,887
23 For Supplemental Nutrition Assistance Program (SNAP) eligibility
24 Personal Service...............................................................................................7,399,089
25 Expense and Equipment........................................................................... 5,258,611
26 From General Revenue Fund (1101) .........................................................................12,657,700
27 Personal Service...............................................................................................4,866,640
28 Expense and Equipment........................................................................... 2,505,605
29 From Department of Social Services Federal Fund (1610) .........................................7,372,245
30 For Temporary Assistance eligibility
31 Personal Service..................................................................................................552,291
32 Expense and Equipment........................................................................... 245,951
33 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 798,242
34 Total (Not to exceed 438.00 F.T.E.) ........................................................................$34,137,004
1 Section 11.115. To the Department of Social Services
2 For the Family Support Division
3 For public acute care hospital partnerships to assist with eligibility
4 determinations for Medicaid and CHIP
5 From General Revenue Fund (1101) ...........................................................................$ 312,500
6 From Department of Social Services Federal Fund (1610) ................................. 937,500
7 Total ...........................................................................................................................$1,250,000
1 Section 11.120. To the Department of Social Services
2 For the Family Support Division
3 For income maintenance and child support staff training, provided three
4 percent (3%) flexibility is allowed from this section to Section
5 11.910
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$118,118
8 From Department of Social Services Federal Fund (1610) ................................. 97,674
9 Total ..............................................................................................................................$215,792
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1 Section 11.125. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization established in 2018 to provide benefits and
4 services as provided by the Refugee Act of 1980 as amended;
5 whose mission and vision is promoting the well-being and
6 inclusion of refugees by resourcing and coordinating resettlement
7 programs across the state; and subcontracts or partners with local
8 refugee resettlement programs throughout the state to ensure
9 access to resources needed to help populations serviced rebuild
10 their lives
11 From Department of Social Services Federal Fund (1610) .....................................$37,904,538
1 Section 11.130. To the Department of Social Services
2 For the Family Support Division
3 For the Electronic Benefit Transfers (EBT) system
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$1,086,957
6 From Department of Social Services Federal Fund (1610) ............................................482,970
7 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 100,000
8 Total ...........................................................................................................................$1,669,927
1 Section 11.135. To the Department of Social Services
2 For the Family Support Division
3 For the Summer Electronic Benefit Transfer (EBT) program
4 For administrative expenses
5 Personal Service................................................................................................$171,367
6 Expense and Equipment........................................................................... 11,543
7 From General Revenue Fund (1101) ..............................................................................182,910
8 Personal Service..................................................................................................171,367
9 Expense and Equipment........................................................................... 11,543
10 From Department of Social Services Federal Fund (1610) ................................. 182,910
11 Total (Not to exceed 6.00 F.T.E.) .................................................................................$365,820
1 Section 11.140. To the Department of Social Services
2 For the Family Support Division
3 For the Summer Electronic Benefit Transfer (EBT) program
4 For contracted vendor costs and outreach costs
5 Expense and Equipment
CCS SS SCS HCS HB 2011 17
6 From General Revenue Fund (1101) .........................................................................$4,987,620
7 From Department of Social Services Federal Fund (1610) ................................. 4,987,620
8 Total ...........................................................................................................................$9,975,240
1 Section 11.141. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Department of Social Services Federal Fund (1610) (one-time) .....................$1,357,677
1 Section 11.145. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri SuN Bucks Summer Electronic Benefit Transfer (EBT)
4 program benefit disbursements
5 From Department of Social Services Federal Fund (1610) .....................................$51,500,000
1 Section 11.150. To the Department of Social Services
2 For the Family Support Division
3 For the receipt of funds from the Polk County and Bolivar Charitable
4 Trust for the exclusive benefit and use of the Polk County Office
5 From Family Services Donations Fund (1167)...............................................................$10,000
1 Section 11.155. To the Department of Social Services
2 For the Family Support Division
3 For contractor, hardware, and other costs associated with planning,
4 development, and implementation of a Family Assistance
5 Management Information System (FAMIS), provided, three
6 percent (3%) flexibility is allowed from this section to Section
7 11.910
8 Expense and Equipment
9 From General Revenue Fund (1101) ............................................................................$571,908
10 From Department of Social Services Federal Fund (1610) ..............................................73,422
11 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000
12 Total ...........................................................................................................................$1,045,330
1 Section 11.160. To the Department of Social Services
2 For the Family Support Division
3 For Missouri Eligibility Determination and Enrollment System
4 (MEDES), provided ten percent (10%) flexibility is allowed
5 between Sections 11.160 and 11.165, and further provided three
CCS SS SCS HCS HB 2011 18
6 percent (3%) flexibility is allowed from this section to Section
7 11.910
8 For the design, development, implementation, maintenance and
9 operation costs of the Medicaid and Children’s Health Insurance
10 Program (CHIP) eligibility categories under the Modified
11 Adjusted Gross Income (MAGI) based methodology
12 Expense and Equipment, excluding employee administrative
13 costs
14 From General Revenue Fund (1101) .........................................................................$2,179,105
15 From Department of Social Services Federal Fund (1610) .......................................25,179,260
16 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,300,007
17 From Health Initiatives Fund (1275) ...........................................................................1,000,004
18 For the design, development, and implementation costs for Supplemental
19 Nutrition Assistance Program (SNAP)
20 Expense and Equipment, excluding employee administrative
21 costs
22 From General Revenue Fund (1101) ...........................................................................6,093,538
23 From Department of Social Services Federal Fund (1610) .........................................7,652,690
24 From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000
25 For the design, development, and implementation costs for Temporary
26 Assistance (TA)
27 Expense and Equipment, excluding employee administrative
28 costs
29 From Temporary Assistance for Needy Families Federal Fund (1199) .........................200,000
30 For the expenses for the independent verification and validation (IV&V)
31 services
32 Expense and Equipment, excluding employee administrative
33 costs
34 From General Revenue Fund (1101) ..............................................................................352,983
35 From Department of Social Services Federal Fund (1610) ............................................970,537
36 For the expenses related to the enterprise content management (ECM)
37 system
38 Expense and Equipment, excluding employee administrative
39 costs
40 From General Revenue Fund (1101) ..............................................................................453,867
CCS SS SCS HCS HB 2011 19
41 From Department of Social Services Federal Fund (1610) .........................................2,227,500
42 For the expenses related to the project management office (PMO)
43 Expense and Equipment
44 From General Revenue Fund (1101) ...........................................................................1,359,631
45 From Department of Social Services Federal Fund (1610) ................................. 2,661,566
46 Total .........................................................................................................................$53,630,688
1 Section 11.165. To the Department of Social Services
2 For the Family Support Division
3 For third party eligibility verification services: in order to improve the
4 accuracy of Medicaid, SNAP and TANF eligibility
5 determinations and redeterminations, increase operational
6 efficiencies, achieve cost savings, and minimize fraud, the
7 Missouri Department of Social Services shall obtain real-time
8 employment and income data (up-to-date, non-modeled
9 employment and income data provided by employers and/or
10 payroll providers) from a payroll data provider, as defined by the
11 Fair Credit Reporting Act, 15 U.S.C. s.1681 et seq., provided the
12 term "payroll data provider" means payroll providers, wage
13 verification companies, and other commercial or non-
14 commercial entities that collect and maintain data regarding
15 employment and wages; and further provided the contractors
16 shall also, on a monthly basis, identify participants of covered
17 programs who have died, moved out of state, or been incarcerated
18 longer than 90 days, provided ten percent (10%) flexibility is
19 allowed between Sections 11.160 and 11.165
20 Expense and Equipment
21 From General Revenue Fund (1101) .........................................................................$5,336,379
22 From Department of Social Services Federal Fund (1610) .........................................9,462,396
23 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 217,878
24 Total .........................................................................................................................$15,016,653
1 Section 11.170. To the Department of Social Services
2 For the Family Support Division
3 For income maintenance eligibility system updates and additional
4 resources to implement Public Law No. 119-21
5 From General Revenue Fund (1101) .......................................................................$17,246,497
6 From Department of Social Services Federal Fund (1610) ................................. 32,346,763
CCS SS SCS HCS HB 2011 20
7 Total .........................................................................................................................$49,593,260
1 Section 11.175. To the Department of Social Services
2 For the Family Support Division
3 For the Food Nutrition Program
4 From Department of Social Services Federal Fund (1610) .......................................$7,031,849
1 Section 11.180. To the Department of Social Services
2 For the Family Support Division
3 For a public school located in a city with more than one thousand nine
4 hundred but fewer than two thousand one hundred fifty
5 inhabitants and located in a county with more than twenty-two
6 thousand but fewer than twenty-five thousand inhabitants and
7 with a county seat with more than five hundred but fewer than
8 nine hundred, a public school located in a city with more than
9 twelve thousand five hundred but fewer than fourteen thousand
10 inhabitants and located in a county with more than fifty thousand
11 but fewer than sixty thousand inhabitants and with a county seat
12 with more than twelve thousand six hundred but fewer than
13 fifteen thousand inhabitants, a public school located in a city with
14 more than seven thousand but fewer than eight thousand
15 inhabitants and that is the county seat of a county with more than
16 fifteen thousand seven hundred but fewer than seventeen
17 thousand six hundred inhabitants, a public school located in a city
18 with more than four thousand nine hundred but fewer than five
19 thousand six hundred inhabitants and that is the county seat of a
20 county with more than twelve thousand five hundred but fewer
21 than fourteen thousand inhabitants, and a public school located in
22 a city with more than twelve thousand five hundred but fewer
23 than fourteen thousand inhabitants and located in a county with
24 more than fifty thousand but fewer than sixty thousand
25 inhabitants and with a county seat with more than ten thousand
26 but fewer than twelve thousand six hundred inhabitants, for a
27 model that uses integrated student support in collaboration with
28 local communities to address barriers to student success
29 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,000,000
30 For a nonprofit organization located in a city with more than four
31 hundred thousand inhabitants and located in more than one
CCS SS SCS HCS HB 2011 21
32 county that provides programs and services including math,
33 science, and computer tutoring; job skills training; transportation;
34 food and clothing programs; and sports programs
35 From General Revenue Fund (1101) (one-time) ............................................................500,000
36 For Missouri Work Programs
37 For a century-old viable non-profit entity located in a city not within a
38 county that annually serves over one hundred thousand clients
39 regionally assisting participants to become successful employees
40 and that serves economically disadvantaged males and females to
41 find jobs and have the opportunity to earn livable wages
42 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000
43 For a program in a city with more than four hundred thousand inhabitants
44 and located in more than one county to teach parenting
45 curriculum and other skills to men, along with assisting them in
46 finding employment, health care, dealing with civil and criminal
47 charges and cases and other social services thus allowing them to
48 develop healthy and supportive relationships with their kids and
49 families
50 From Temporary Assistance for Needy Families Federal Fund (1199)
51 (one-time) ..............................................................................................................50,000
52 For the purpose of funding a program in a city not within a county to
53 foster healthy relationships by strengthening families and
54 reducing the rates of absentee fathers through employment
55 placement, job readiness, and employer retention skills
56 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,000,000
57 Total ...........................................................................................................................$3,350,000
1 Section 11.181. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county that
4 has been in operation for over 100 years and provides children
5 and family services
6 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,000,000
1 Section 11.185. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 2011 22
3 For a nonprofit organization located in a city with more than four
4 hundred thousand inhabitants and located in more than one
5 county that provides job training in pet grooming to help break
6 generational poverty, including the expansion of such services to
7 additional locations
8 From General Revenue Fund (1101) (one-time) ..........................................................$995,354
9 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 600,000
10 Total ...........................................................................................................................$1,595,354
1 Section 11.187. To the Department of Social Services
2 For the Family Support Division
3 For a program in any county with more than seventy thousand but fewer
4 than eighty thousand inhabitants that is a national service
5 initiative and is the most successful mentoring program for young
6 people of color from its inception, was to provide scholarships to
7 needy and talented students from grades 6–12, and to inform
8 young people of the professions and other career options
9 From General Revenue Fund (1101) (one-time) ............................................................$25,000
1 Section 11.190. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in any county with more than one
4 million inhabitants that provides youth and their family with
5 mentorship as well as virtual or in-person educational
6 opportunities relating to college preparedness, workforce
7 development, and character preparation to foster academic
8 success
9 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,080,500
1 Section 11.191. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization located in a county with more than one
4 million inhabitants that is driven by the goal to make the world a
5 better place for all youth, strives to build productive relationships
6 and make a positive impact in all pursuits
7 From General Revenue Fund (1101) (one-time) ..........................................................$100,000
1 Section 11.195. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 2011 23
3 For the Temporary Assistance for Needy Families (TANF) benefits and
4 Temporary Assistance (TA) Diversion transitional benefits
5 From General Revenue Fund (1101) .........................................................................$2,946,121
6 From Temporary Assistance for Needy Families Federal Fund (1199) ....................11,718,245
7 For the purpose of funding a joint effort between a program in any city
8 not within a county that builds strong families and vibrant
9 communities by providing hope, comprehensive services, and
10 meaningful opportunities that exemplifies the cultural and artistic
11 traditions of people in Africa, the Caribbean and the Americas
12 and a century-old viable non-profit entity located in a city not
13 within a county that annually serves over one hundred thousand
14 clients regionally assisting participants to become successful
15 employees and that serves economically disadvantaged males
16 and females to find jobs and have the opportunity to earn livable
17 wages
18 From Temporary Assistance for Needy Families Federal Fund (1199) .........................250,000
19 For a nonprofit organization headquartered in a city with more than one
20 hundred sixty thousand but fewer than two hundred thousand
21 inhabitants whose mission is to feed the world through children's
22 feeding initiatives, community outreaches, disaster response, and
23 strategic program partners
24 From General Revenue Fund (1101) (one-time) ................................................. 750,000
25 Total .........................................................................................................................$15,664,366
1 Section 11.200. To the Department of Social Services
2 For the Family Support Division
3 For a healthy marriage and fatherhood initiative
4 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,250,000
1 Section 11.201. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization, founded in 1977 and located in a city with
4 more than eight thousand but fewer than nine thousand
5 inhabitants and located in a county with more than one million
6 inhabitants, whose mission is to empower children, parents and
7 families during and after divorce through counseling, education,
8 and support to ensure successful outcomes, improve emotional
CCS SS SCS HCS HB 2011 24
9 and family stability, and promote opportunities to achieve goals
10 and transition into healthy and productive adults
11 From Temporary Assistance for Needy Families Federal Fund (1199)
12 (one-time) ..........................................................................................................$100,000
1 Section 11.205. To the Department of Social Services
2 For the Family Support Division
3 For supplemental payments to aged or disabled persons
4 From General Revenue Fund (1101) ................................................................................$6,120
1 Section 11.210. To the Department of Social Services
2 For the Family Support Division
3 For nursing care payments to aged, blind, or disabled persons, and for
4 personal funds to recipients of Supplemental Nursing Care
5 payments as required by Section 208.030, RSMo, provided
6 thirty-five percent (35%) flexibility is allowed from Section
7 11.210 to 11.745
8 From General Revenue Fund (1101) .......................................................................$22,344,440
1 Section 11.215. To the Department of Social Services
2 For the Family Support Division
3 For Blind Pension and supplemental payments to blind persons, provided
4 that the Department of Social Services, whenever it calculates a
5 new estimated rate or rates for the Blind Pension and/or
6 supplemental payments to blind persons for the upcoming fiscal
7 year, shall transmit the new estimated rate or rates, as well as the
8 accompanying assumptions and calculations used to create the
9 new estimated rate or rates, to the following organizations:
10 Missouri Council for the Blind, National Federation of the Blind
11 of Missouri, and the State Rehabilitation Council
12 From Blind Pension Fund (1621) ............................................................................$38,838,112
1 Section 11.220. To the Department of Social Services
2 For the Family Support Division
3 For the administration of blind services, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.910
5 Personal Service.............................................................................................$1,093,800
6 Expense and Equipment........................................................................... 114,927
7 From General Revenue Fund (1101) ...........................................................................1,208,727
CCS SS SCS HCS HB 2011 25
8 Personal Service...............................................................................................4,113,351
9 Expense and Equipment........................................................................... 754,915
10 From Department of Social Services Federal Fund (1610) ................................. 4,868,266
11 Total (Not to exceed 102.69 F.T.E.) ..........................................................................$6,076,993
1 Section 11.225. To the Department of Social Services
2 For the Family Support Division
3 For services for the visually impaired, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.910
5 From General Revenue Fund (1101) .........................................................................$1,298,211
6 From Department of Social Services Federal Fund (1610) .........................................5,657,946
7 From Family Services Donations Fund (1167).................................................................99,995
8 From Blindness Education, Screening and Treatment Program Fund
9 (1892) ....................................................................................................... 349,325
10 Total ...........................................................................................................................$7,405,477
1 Section 11.230. To the Department of Social Services
2 For the Family Support Division
3 For business enterprise programs for the blind
4 From Department of Social Services Federal Fund (1610) .....................................$44,603,034
1 Section 11.232. To the Department of Social Services
2 For the Family Support Division
3 For a professional women's soccer team located in a city with more than
4 four hundred thousand inhabitants and located in more than one
5 county to provide youth soccer clubs and programs
6 From General Revenue Fund (1101) (one-time) ............................................................$20,000
1 Section 11.235. To the Department of Social Services
2 For the Family Support Division
3 For the Child Support Enforcement field staff and operations, provided
4 three percent (3%) flexibility is allowed from this section to
5 Section 11.910
6 Personal Service.............................................................................................$3,681,668
7 Expense and Equipment........................................................................... 2,587,989
8 From General Revenue Fund (1101) ...........................................................................6,269,657
9 Personal Service.............................................................................................19,803,965
CCS SS SCS HCS HB 2011 26
10 Expense and Equipment........................................................................... 5,684,247
11 From Department of Social Services Federal Fund (1610) .......................................25,488,212
12 Personal Service...............................................................................................2,457,642
13 Expense and Equipment........................................................................... 2,146,390
14 From Child Support Enforcement Fund (1169)................................................... 4,604,032
15 Total (Not to exceed 584.04 F.T.E.) ........................................................................$36,361,901
1 Section 11.236. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization which was founded in 2008 and located
4 in any city with more than one hundred twenty-five thousand but
5 fewer than one hundred sixty thousand inhabitants provided the
6 funds are used for responsible fatherhood services and healthy
7 marriage activities, including but not limited to the collection of
8 child support checks, and provided the Department of Social
9 Services shall apply for any waivers necessary to allow the non-
10 profit organization to expend these funds
11 From Child Support Enforcement Fund (1169)............................................................$500,000
1 Section 11.240. To the Department of Social Services
2 For the Family Support Division
3 For the Child Support Enforcement Call Center
4 For state operated call center administrative and operational expenses
5 Personal Service................................................................................................$887,742
6 Expense and Equipment........................................................................... 614,885
7 From General Revenue Fund (1101) ...........................................................................1,502,627
8 Personal Service...............................................................................................1,694,015
9 Expense and Equipment........................................................................... 1,297,503
10 From Department of Social Services Federal Fund (1610) .........................................2,991,518
11 Personal Service..................................................................................................129,519
12 Expense and Equipment........................................................................... 95,844
13 From Child Support Enforcement Fund (1169)................................................... 225,363
14 Total (Not to exceed 67.20 F.T.E.) ............................................................................$4,719,508
1 Section 11.245. To the Department of Social Services
2 For the Family Support Division
3 For the Family Support Payment Center
CCS SS SCS HCS HB 2011 27
4 Personal Service..................................................................................................$72,799
5 Expense and Equipment........................................................................... 3,470,006
6 From Department of Social Services Federal Fund (1610) .........................................3,542,805
7 Personal Service....................................................................................................35,931
8 Expense and Equipment........................................................................... 1,462,900
9 From Child Support Enforcement Fund (1169)................................................... 1,498,831
10 Total (Not to exceed 2.62 F.T.E.) ..............................................................................$5,041,636
1 Section 11.250. To the Department of Social Services
2 For the Family Support Division
3 For reimbursements to counties and the City of St. Louis and contractual
4 agreements with local governments providing child support
5 services, provided three percent (3%) flexibility is allowed from
6 this section to Section 11.910
7 From General Revenue Fund (1101) .........................................................................$1,840,491
8 From Department of Social Services Federal Fund (1610) .......................................13,386,582
9 From Child Support Enforcement Fund (1169)................................................... 800,212
10 Total .........................................................................................................................$16,027,285
1 Section 11.252. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation formed in 2010, and located in a
4 city with more than one hundred sixty thousand but fewer than
5 two hundred thousand inhabitants to assist at-risk or foster care
6 youth ranging in ages from 16 to 24 years old through its positive
7 youth development programs and by helping them identify and
8 apply their unique strengths in order to experience a successful,
9 self-sufficient transition into adulthood
10 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$150,000
1 Section 11.253. To the Department of Social Services
2 For the Family Support Division
3 For a 501 (c)(3) organization incorporated in 1971 located in a city with
4 more than four hundred thousand inhabitants and located in more
5 than one county that offers residential support to men over 21
6 years old as they work to rebuild their lives from alcohol and drug
7 use
8 From General Revenue Fund (1101) (one-time) ..........................................................$500,000
CCS SS SCS HCS HB 2011 28
1 Section 11.255. To the Department of Social Services
2 For the Family Support Division
3 For reimbursements to the federal government for federal Temporary
4 Assistance for Needy Families payments, refunds of bonds,
5 refunds of support payments or overpayments, and distributions
6 to families
7 From Department of Social Services Federal Fund (1610) .....................................$29,000,000
8 From Debt Offset Escrow Fund (1753) .......................................................................6,000,000
9 For the purpose of funding a program located in a city not within a county
10 that assists individuals with limited opportunities to self-
11 sufficiency by breaking down barriers to self-sufficiency,
12 assisting survivors of domestic violence while fostering healthy
13 co-parenting relationships, reducing the rates of absentee fathers,
14 child development and strengthening families, all while creating
15 a safer and more inclusive community
16 From Temporary Assistance for Needy Families Federal Fund (1199)
17 (one-time) ................................................................................................. 250,000
18 Total .........................................................................................................................$35,250,000
1 Section 11.259. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization located in any county with more than four
4 hundred thousand but fewer than five hundred thousand
5 inhabitants whose mission is to provide school districts' student
6 personnel with suicide prevention skills and awareness, training
7 on social media harassment and bullying interventions, and
8 mental health therapy resources
9 From Temporary Assistance for Needy Families Federal Fund (1199)
10 (one-time) ..........................................................................................................$200,000
1 Section 11.260. To the Department of Social Services
2 For the Family Support Division
3 Funds are to be transferred out of the State Treasury to the
4 Department of Social Services Federal Fund
5 From Debt Offset Escrow Fund (1753) ........................................................................$955,000
CCS SS SCS HCS HB 2011 29
6 Funds are to be transferred out of the State Treasury to the Child
7 Support Enforcement Fund
8 From Debt Offset Escrow Fund (1753) ............................................................... 245,000
9 Total ...........................................................................................................................$1,200,000
1 Section 11.265. To the Department of Social Services
2 For the Family Support Division
3 For the Office of Workforce and Community Initiatives
4 For administrative expenses
5 Personal Service
6 From General Revenue Fund (1101) ............................................................................$176,390
7 From Department of Social Services Federal Fund (1610) .........................................1,927,955
8 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,068,061
9 Total (Not to exceed 48.00 F.T.E.) ............................................................................$3,172,406
1 Section 11.266. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit organization located in a city not within a county
4 dedicated to educating, strengthening, and empowering women
5 and children affected by domestic violence
6 From Temporary Assistance for Needy Families Federal Fund (1199)
7 (one-time) ..........................................................................................................$500,000
1 Section 11.267. To the Department of Social Services
2 For the Family Support Division
3 For a 501(c)(3) non-profit corporation with more than 30 employees,
4 formed in 1969, and located in a city with more than one hundred
5 sixty thousand but fewer than two hundred thousand inhabitants
6 for training, resources, and support to equip volunteers to tutor
7 and support student learning in public elementary schools
8 From Temporary Assistance for Needy Families Federal Fund (1199)
9 (one-time) ..........................................................................................................$150,000
1 Section 11.268. To the Department of Social Services
2 For the Family Support Division
3 For a non-profit organization located in any county with more than one
4 million inhabitants that assists abused and neglected women and
5 teens with support resources and community education to help
CCS SS SCS HCS HB 2011 30
6 them out of abusive environments and promote a positive and
7 productive future
8 From General Revenue Fund (1101) (one-time) ..........................................................$200,000
1 Section 11.270. To the Department of Social Services
2 For the Family Support Division
3 For grants and contracts to Community Partnerships and other
4 community initiatives and related expenses, provided three
5 percent (3%) flexibility is allowed from this section to Section
6 11.910
7 From General Revenue Fund (1101) .........................................................................$1,132,328
8 From Department of Social Services Federal Fund (1610) ..............................................78,307
9 From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,025,492
10 For the Missouri Mentoring Partnership
11 From Department of Social Services Federal Fund (1610) ............................................935,000
12 For a program for adolescents with the goal of preventing teen
13 pregnancies
14 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000
15 Total ...........................................................................................................................$9,571,127
1 Section 11.271. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit located in a county with more than one million
4 inhabitants which focuses on at risk and under-represented youth
5 and young adults provided the funding is used for personal and
6 professional skills development, peer-mentoring services, and
7 training young adults to become mentor leaders
8 From General Revenue Fund (1101) (one-time) ............................................................$70,000
1 Section 11.275. To the Department of Social Services
2 For the Family Support Division
3 For the Missouri Work Assistance Program Unit
4 For Work Assistance Programs
5 From General Revenue Fund (1101) .........................................................................$1,855,554
6 From Temporary Assistance for Needy Families Federal Fund (1199) ....................12,017,755
7 For the Missouri SkillUp Program
CCS SS SCS HCS HB 2011 31
8 From Department of Social Services Federal Fund (1610) .........................................4,672,471
9 From Temporary Assistance for Needy Families Federal Fund (1199) ......................5,469,104
10 For the attendance of Supplemental Nutrition Assistance Program
11 recipients at adult high schools as designated by the Department
12 of Elementary and Secondary Education
13 From Department of Social Services Federal Fund (1610) .........................................5,100,000
14 For the attendance of low-income individuals at adult high schools as
15 designated by the Department of Elementary and Secondary
16 Education
17 From General Revenue Fund (1101) ...........................................................................2,000,000
18 From Temporary Assistance for Needy Families Federal Fund (1199) ......................6,400,000
19 For child care at adult high school locations
20 From General Revenue Fund (1101) ...........................................................................1,510,000
21 For Jobs for America’s Graduates
22 From Temporary Assistance for Needy Families Federal Fund (1199) ......................4,500,000
23 For a comprehensive counseling and solution generation service that
24 focuses on a multi-year journey for high school students from
25 initial training to full-time employment with pre-identified entry
26 level jobs that drive the program’s training while earning a degree
27 relating to information technology, provided that the service is
28 designed to assist with environmental hurdles and with students
29 receiving accredited course credit from institutions for higher
30 education in the state of Missouri, and further provided that the
31 service includes a multi-year, wrap around support infrastructure
32 for each student that extends from the student’s acceptance into
33 the program through full time employment and continues until
34 the student completes a degree, if so requested by the program
35 participant, also known as HyperCare
36 From General Revenue Fund (1101) ...........................................................................1,250,000
37 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,750,000
38 Total .........................................................................................................................$46,524,884
1 Section 11.280. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 2011 32
3 For a healthy marriage and fatherhood initiative delivered by a Missouri
4 nonprofit corporation at multiple locations throughout the state
5 of Missouri with a primary office located in a city with more than
6 one hundred sixty thousand but fewer than two hundred thousand
7 inhabitants
8 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$500,000
1 Section 11.285. To the Department of Social Services
2 For the Family Support Division
3 For support to Food Banks’ effort to provide services and food to low-
4 income individuals
5 From Temporary Assistance for Needy Families Federal Fund (1199) ..................$10,000,000
6 For an evidence-based program through a school-based early warning
7 and response system that improves student attendance, behavior,
8 and course performance in reading and math by identifying the
9 root causes for student absenteeism, classroom disruption, and
10 course failure
11 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,500,000
12 For after school support programs
13 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000
14 For out of school support programs
15 From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000
16 For a nonprofit organization serving youth for over twenty years that
17 enables young people to reach their full potential as productive,
18 caring, responsible citizens by providing a club experience,
19 including after school and summer programs that assures success
20 located in any city with more than sixteen thousand but fewer
21 than eighteen thousand inhabitants and that is the county seat of
22 a county with more than forty thousand but fewer than fifty
23 thousand inhabitants
24 From General Revenue Fund (1101) (one-time) .........................................................3,500,000
25 For a century-old viable non-profit entity located in a city not within a
26 county that annually serves over one hundred thousand clients
27 regionally in efforts to deescalate violence and offer conflict
28 mediation and connects neighborhood residents with the
CCS SS SCS HCS HB 2011 33
29 necessary viable resources and services, in an effort to reduce
30 crime, violence, and to improve the quality of life
31 From Temporary Assistance for Needy Families Federal Fund (1199)
32 (one-time)................................................................................................ 1,000,000
33 Total .........................................................................................................................$19,000,000
1 Section 11.286. To the Department of Social Services
2 For the Family Support Division
3 For a nonprofit organization founded in 2016 located in a city with more
4 than four hundred thousand inhabitants and located in more than
5 one county, that is providing access to fresh, affordable and
6 healthy foods to over 250,000 local residents experiencing food
7 insecurity
8 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$250,000
1 Section 11.290. To the Department of Social Services
2 For the Family Support Division
3 For out of school enrichment initiatives
4 Program Distribution
5 From Temporary Assistance for Needy Families Federal Fund (1199) ....................$7,000,000
1 Section 11.295. To the Department of Social Services
2 For the Family Support Division
3 For alternatives to abortion services, including the provision of diapers
4 and other infant hygiene products to women who qualify for
5 alternative to abortion services, provided that if the Department
6 grants or allocates funds to certain not-for-profit organizations or
7 regions of the state that are unused or anticipated to be unused,
8 then the Department shall redistribute such funds to other not-for-
9 profit organizations or regions of the state to ensure that all the
10 funds appropriated are available to serve women who qualify for
11 alternatives to abortion services, and further provided that the
12 Department shall not limit the amount that can be expended per
13 client
14 From General Revenue Fund (1101) .........................................................................$2,033,561
15 From Department of Social Services Federal Fund (1610) ..............................................50,000
16 From Temporary Assistance for Needy Families Federal Fund (1199) ....................10,300,000
CCS SS SCS HCS HB 2011 34
17 For the alternatives to abortion public awareness program, including
18 assistance to contractors and subcontractors with the Department
19 for alternatives to abortion services, to help alternatives to
20 abortion agencies reach pregnant women at risk for having
21 abortions when such agencies are blocked or in any other way
22 suppressed by any search engine, social media platform, or digital
23 advertising network
24 From General Revenue Fund (1101) ................................................................... 550,000
25 Total .........................................................................................................................$12,933,561
1 Section 11.297. To the Department of Social Services
2 For the Family Support Division
3 For funding a multi-model, on-demand, micro-transit provision and/or
4 coordination in rural and suburban markets to enhance access to
5 health services (including, without limitation, mental, physical,
6 dental health services and pharmaceutical services); workforce
7 development training, to include educational opportunities,
8 apprenticeship programs, internships and other related workforce
9 programs and for mobility coordination, primarily for individuals
10 in areas of the state under-served by existing public transit
11 services and routes
12 From General Revenue Fund (1101) (one-time) .......................................................$1,000,000
1 Section 11.300. To the Department of Social Services
2 For the Family Support Division
3 For grants to organizations that promote and facilitate adoptions,
4 maternity homes, diaper banks, and organizations providing
5 material support and other assistance to individuals facing an
6 unintended pregnancy to help those individuals give birth to their
7 unborn children
8 From General Revenue Fund (1101) .........................................................................$1,500,000
1 Section 11.305. To the Department of Social Services
2 For the Family Support Division
3 For a grant to an organization located in a city with more than thirty-six
4 thousand five hundred but fewer than forty thousand inhabitants
5 that promotes and facilitates adoptions, maternity homes,
6 material support and other assistance to individuals facing an
CCS SS SCS HCS HB 2011 35
7 unintended pregnancy to help those individuals give birth to their
8 unborn children
9 From Temporary Assistance for Needy Families Federal Fund (1199)
10 (including $125,000 one-time)..........................................................................$625,000
1 Section 11.311. To the Department of Social Services
2 For the Family Support Division
3 For a not-for-profit located in a city not within a county and founded in
4 1981, whose mission is to offer hope, empowerment,
5 compassion, hospitality and a chance for independence, to
6 provide substance abuse treatment support, family support
7 services, access to healthy foods and adequate shelter
8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$500,000
1 Section 11.320. To the Department of Social Services
2 For the Family Support Division
3 For community services programs provided by Community Action
4 Agencies or other not-for-profit organizations under the
5 provisions of the Community Services Block Grant
6 From Department of Social Services Federal Fund (1610) .....................................$23,437,056
1 Section 11.330. To the Department of Social Services
2 For the Family Support Division
3 For the Food Distribution Program, the receipt and disbursement of
4 Donated Food Program payments and for the Local Food
5 Purchase Assistance Cooperative Program
6 From Department of Social Services Federal Fund (1610) .......................................$6,777,682
1 Section 11.331. To the Department of Social Services
2 For the Family Support Division
3 For a transitional housing facility project for the homeless that is
4 expected to house between 15 and 20 people, and would include
5 laundry, internet, showers, a communal living space, and a
6 kitchen for the residents in any county with more than two
7 hundred thousand but fewer than two hundred thirty thousand
8 inhabitants
9 From General Revenue Fund (1101) (one-time) .......................................................$1,000,000
1 Section 11.335. To the Department of Social Services
CCS SS SCS HCS HB 2011 36
2 For the Family Support Division
3 For the Low-Income Home Energy Assistance Program, provided the
4 eligible household income does not exceed one hundred and fifty
5 percent (150%) of the federal poverty level or sixty percent
6 (60%) of the state median income (SMI)
7 From Department of Social Services Federal Fund (1610) .....................................$93,620,002
1 Section 11.340. To the Department of Social Services
2 For the Family Support Division
3 For grants to not-for profit organizations for services and programs to
4 assist victims of domestic violence, provided three percent (3%)
5 flexibility is allowed from this section to Section 11.910
6 From General Revenue Fund (1101) (including $1,000,000 one-time) ....................$5,000,000
7 From Department of Social Services Federal Fund (1610) .........................................3,000,000
8 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,600,000
9 For emergency shelter services to assist victims of domestic violence
10 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 562,137
11 Total .........................................................................................................................$10,162,137
1 Section 11.345. To the Department of Social Services
2 For the Family Support Division
3 For the Victims of Crime Act (VOCA) Unit
4 For the administrative expenses of the Victims of Crime Act program
5 Personal Service
6 From General Revenue Fund (1101) ..............................................................................$27,827
7 Personal Service..................................................................................................286,501
8 Expense and Equipment........................................................................... 100,049
9 From Victims of Crime Act Federal Fund (1146) ..........................................................386,550
10 For training and technical assistance expenses for the Victims of Crime
11 Act program
12 Expense and Equipment
13 From Victims of Crime Act Federal Fund (1146) ............................................... 500,000
14 Total (Not to exceed 5.00 F.T.E.) .................................................................................$914,377
1 Section 11.350. To the Department of Social Services
2 For the Family Support Division
CCS SS SCS HCS HB 2011 37
3 For the Office of Workforce & Community Initiatives
4 For the Victims of Crime Act (VOCA) Unit
5 For grants to not-for-profit organizations for services and programs to
6 assist victims of crime
7 From Victims of Crime Act Federal Fund (1146) ...................................................$33,864,755
8 From Missouri State Capitol Commission Capitol Preservation Fund
9 (1202) (one-time) ...................................................................................... 9,000,000
10 Total .........................................................................................................................$42,864,755
1 Section 11.355. To the Department of Social Services
2 For the Family Support Division
3 For grants to not-for-profit organizations for services and programs to
4 assist victims of sexual assault, provided three percent (3%)
5 flexibility is allowed from this section to Section 11.910
6 From General Revenue Fund (1101) .........................................................................$1,750,000
1 Section 11.360. To the Department of Social Services
2 For the Children’s Division administrative expenses, provided three
3 percent (3%) flexibility is allowed from this section to Section
4 11.910
5 Personal Service.............................................................................................$1,999,971
6 Expense and Equipment........................................................................... 1,738,275
7 From General Revenue Fund (1101) ...........................................................................3,738,246
8 Personal Service...............................................................................................1,915,795
9 Expense and Equipment........................................................................... 1,031,094
10 From Department of Social Services Federal Fund (1610) .........................................2,946,889
11 Personal Service
12 From Temporary Assistance for Needy Families Federal Fund (1199) .........................944,470
13 Expense and Equipment
14 From Third Party Liability Collections Fund (1120)........................................... 55,944
15 Total (Not to exceed 75.43 F.T.E.) ............................................................................$7,685,549
1 Section 11.365. To the Department of Social Services
2 For the Children’s Division
3 For the Residential Program Unit
4 Personal Service.............................................................................................$1,399,932
CCS SS SCS HCS HB 2011 38
5 Expense and Equipment........................................................................... 158,212
6 From General Revenue Fund (1101) ...........................................................................1,558,144
7 Personal Service..................................................................................................573,659
8 Expense and Equipment........................................................................... 22,589
9 From Department of Social Services Federal Fund (1610) ................................. 596,248
10 Total (Not to exceed 33.00 F.T.E.) ............................................................................$2,154,392
1 Section 11.370. To the Department of Social Services
2 For the Children’s Division
3 For the Child Abuse and Neglect Hotline Unit
4 For administrative expenses, provided five percent (5%) flexibility is
5 allowed between personal service and expense and equipment
6 Personal Service.............................................................................................$5,467,887
7 Expense and Equipment........................................................................... 163,666
8 From General Revenue Fund (1101) (Not to exceed 89.00 F.T.E.) ..........................$5,631,553
1 Section 11.375. To the Department of Social Services
2 For the Children’s Division, provided five percent (5%) flexibility is
3 allowed between personal service and expense and equipment,
4 and further provided five percent (5%) flexibility is allowed from
5 Section 11.375 to 11.370, and further provided that fifty percent
6 (50%) flexibility is allowed between Sections 11.375, 11.395,
7 and 11.400, and further provided three percent (3%) flexibility is
8 allowed from this section to Section 11.910
9 For the Children’s Division field staff and operations administrative
10 expenses
11 Personal Service...........................................................................................$45,168,617
12 Expense and Equipment........................................................................... 2,098,188
13 From General Revenue Fund (1101) .........................................................................47,266,805
14 Personal Service.............................................................................................42,952,511
15 Expense and Equipment........................................................................... 3,192,497
16 From Department of Social Services Federal Fund (1610) .......................................46,145,008
17 Personal Service.............................................................................................14,812,919
18 Expense and Equipment........................................................................... 1,818,397
19 From Temporary Assistance for Needy Families Federal Fund (1199) ....................16,631,316
20 Personal Service....................................................................................................97,411
CCS SS SCS HCS HB 2011 39
21 Expense and Equipment........................................................................... 35,558
22 From Health Initiatives Fund (1275) ..............................................................................132,969
23 For recruitment and retention services
24 From General Revenue Fund (1101) ..............................................................................613,496
25 From Department of Social Services Federal Fund (1610) ............................................550,504
26 For the expansion of a foster care portal software that can be accessed by
27 children’s division caseworkers, licensed foster families, foster
28 care licensure applicants, parents or guardians of children in
29 foster care, and other key parties to ensure streamlined
30 communication and information sharing
31 From General Revenue Fund (1101) ................................................................... 750,000
32 Total (Not to exceed 1,781.86 F.T.E.) ...................................................................$112,090,098
1 Section 11.380. To the Department of Social Services
2 For the Children's Division
3 For Psychotropic Medication Reviews
4 For administration to monitor and track prescribed and administered
5 psychotropic medications to children in the custody of the
6 Children's Division, assist in the collection of medical records,
7 ensure informed consent of family members, provide secondary
8 reviews to prevent excessive dosages, and administer pre-service
9 and annual training to foster care case management staff and
10 resource providers
11 Personal Service................................................................................................$250,134
12 Expense and Equipment........................................................................... 45,768
13 From General Revenue Fund (1101) ..............................................................................295,902
14 Personal Service....................................................................................................72,014
15 Expense and Equipment........................................................................... 13,177
16 From Department of Social Services Federal Fund (1610) ..............................................85,191
17 Personal Service....................................................................................................36,007
18 Expense and Equipment........................................................................... 6,588
19 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 42,595
20 Total (Not to exceed 6.00 F.T.E.) .................................................................................$423,688
1 Section 11.385. To the Department of Social Services
2 For the Children's Division
CCS SS SCS HCS HB 2011 40
3 For tuition assistance
4 Expense and Equipment
5 From General Revenue Fund (1101) ..............................................................................$77,000
6 Expense and Equipment
7 From Department of Social Services Federal Fund (1610) ................................. 231,000
8 Total ..............................................................................................................................$308,000
1 Section 11.390. To the Department of Social Services
2 For the Children’s Division
3 For diligent search for relative placements
4 Personal Service................................................................................................$749,220
5 Expense and Equipment........................................................................... 150,906
6 From General Revenue Fund (1101) ..............................................................................900,126
7 Personal Service..................................................................................................301,607
8 Expense and Equipment........................................................................... 74,559
9 From Department of Social Services Federal Fund (1610) ................................. 376,166
10 Total (Not to exceed 24.00 F.T.E.) ............................................................................$1,276,292
1 Section 11.395. To the Department of Social Services
2 For the Children’s Division
3 For administrative expenses of the Family Centered Services (FCS)
4 program, provided five percent (5%) flexibility is allowed
5 between personal service and expense and equipment, and further
6 provided fifty percent (50%) flexibility is allowed between
7 Sections 11.375, 11.395, and 11.400
8 Personal Service.............................................................................................$2,697,320
9 Expense and Equipment........................................................................... 170,859
10 From General Revenue Fund (1101) ...........................................................................2,868,179
11 Personal Service..................................................................................................805,879
12 Expense and Equipment........................................................................... 65,681
13 From Department of Social Services Federal Fund (1610) ................................. 871,560
14 For grants to nonprofit organizations for statewide prevention and
15 education efforts concerning human trafficking through a
16 program that reaches public and charter schools
17 Expense and Equipment
CCS SS SCS HCS HB 2011 41
18 From General Revenue Fund (1101) (one-time) ................................................. 150,000
19 Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,889,739
1 Section 11.400. To the Department of Social Services
2 For the Children’s Division
3 For the Team Decision Making (TDM) administrative expenses,
4 provided five percent (5%) flexibility is allowed between
5 personal service and expense and equipment, and further
6 provided fifty percent (50%) flexibility is allowed between
7 Sections 11.375, 11.395, and 11.400
8 Personal Service.............................................................................................$2,730,173
9 Expense and Equipment........................................................................... 174,962
10 From General Revenue Fund (1101) ...........................................................................2,905,135
11 Personal Service..................................................................................................842,595
12 Expense and Equipment........................................................................... 65,695
13 From Department of Social Services Federal Fund (1610) ................................. 908,290
14 Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,813,425
1 Section 11.405. To the Department of Social Services
2 For the Children’s Division
3 For the development and integration of a new comprehensive child
4 welfare information system
5 From General Revenue Fund (1101) (one-time) .......................................................$6,345,000
6 From Department of Social Services Federal Fund (1610) (including
7 $4,545,000 one-time) .......................................................................................6,545,000
8 From Budget Stabilization Fund (1522) .............................................................. 4,888,153
9 Total .........................................................................................................................$17,778,153
1 Section 11.410. To the Department of Social Services
2 For the Children’s Division
3 For the Children's Division staff training, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.910
5 For administrative staff expenses
6 Personal Service..................................................................................................$55,294
7 Expense and Equipment........................................................................... 12,531
8 From General Revenue Fund (1101) ................................................................................67,825
9 Personal Service....................................................................................................55,295
CCS SS SCS HCS HB 2011 42
10 Expense and Equipment........................................................................... 12,531
11 From Department of Social Services Federal Fund (1610) ..............................................67,826
12 Personal Service....................................................................................................12,288
13 Expense and Equipment........................................................................... 2,786
14 From Temporary Assistance for Needy Families Federal Fund (1199) ...........................15,074
15 For contracted training expenses
16 Expense and Equipment
17 From General Revenue Fund (1101) ...........................................................................1,087,513
18 From Department of Social Services Federal Fund (1610) ................................. 590,243
19 Total (Not to exceed 2.00 F.T.E.) ..............................................................................$1,828,481
1 Section 11.415. To the Department of Social Services
2 For the Children’s Division
3 For a statewide specialist focused on prevention and response to sex
4 trafficking and sexual exploitation of children and for services for
5 child victims, provided five percent (5%) flexibility is allowed
6 between personal services and expense and equipment
7 Personal Service..................................................................................................$63,586
8 Expense and Equipment........................................................................... 7,053
9 From General Revenue Fund (1101) ................................................................................70,639
10 Personal Service....................................................................................................37,345
11 Expense and Equipment........................................................................... 4,141
12 From Department of Social Services Federal Fund (1610) ................................. 41,486
13 Total (Not to exceed 1.00 F.T.E.) .................................................................................$112,125
1 Section 11.420. To the Department of Social Services
2 For the Children’s Division
3 For the Birth Match Program as set forth in Section, 210.156 RSMo.
4 Personal Service
5 From Temporary Assistance for Needy Families Federal Fund (1199) .......................$110,755
6 Program Distribution
7 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 258,065
8 Total (Not to exceed 2.00 F.T.E.) .................................................................................$368,820
1 Section 11.421. To the Department of Social Services
2 For the Children’s Division
CCS SS SCS HCS HB 2011 43
3 For foster care treatment costs in an outdoor learning foster care program
4 that is licensed or accredited for treatment programming with the
5 reimbursement rate for this service determined by a cost study for
6 payment in addition to other service rates for the foster child,
7 provided that such reimbursement rate shall not exceed the
8 appropriation authority, and further provided that no funds shall
9 be expended to any vendor who fails to report a crime as required
10 by law and/or failed to remove an employee from duties related
11 to the treatment program upon becoming aware of a charge or
12 indictment
13 From General Revenue Fund (1101) ............................................................................$183,385
14 From Department of Social Services Federal Fund (1610) ................................. 316,615
15 Total ..............................................................................................................................$500,000
1 Section 11.425. To the Department of Social Services
2 For the Children’s Division, provided ten percent (10%) flexibility is
3 allowed between Sections 11.090, 11.425, 11.435, 11.445,
4 11.455, 11.460, 11.485, 11.495, and 11.500, and further provided
5 three percent (3%) flexibility is allowed from this section to
6 Section 11.910
7 For children’s treatment services including, but not limited to, home
8 based services, day treatment services, preventive services,
9 family reunification services, or intensive in-home services
10 From General Revenue Fund (1101) .......................................................................$15,268,036
11 From Department of Social Services Federal Fund (1610) .......................................15,796,892
12 From Title XIX Department of Social Services Medicaid Assistance
13 Federal Fund (1163)..............................................................................................50,000
14 From Temporary Assistance for Needy Families Federal Fund (1199) .........................425,286
15 For crisis care
16 From General Revenue Fund (1101) ................................................................... 2,316,000
17 Total .........................................................................................................................$33,856,214
1 Section 11.430. To the Department of Social Services
2 For the Children’s Division
3 For court ordered drug testing
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$578,763
6 From Department of Social Services Federal Fund (1610) ................................. 118,924
CCS SS SCS HCS HB 2011 44
7 Total ..............................................................................................................................$697,687
1 Section 11.435. To the Department of Social Services
2 For the Children’s Division
3 For foster care placement special expenses, respite services, and
4 transportation expenses; expenses related to training of foster
5 parents, provided ten percent (10%) flexibility is allowed
6 between Sections 11.090, 11.425, 11.435, 11.445, 11.455,
7 11.460, 11.485, 11.495, and 11.500
8 From General Revenue Fund (1101) .........................................................................$3,559,911
9 From Department of Social Services Federal Fund (1610) ............................................952,323
10 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,052,169
11 For awards to licensed community-based foster care and adoption
12 recruitment programs
13 From Foster Care and Adoptive Parents Recruitment and Retention Fund
14 (1979) ....................................................................................................... 15,000
15 Total ...........................................................................................................................$5,579,403
1 Section 11.440. To the Department of Social Services
2 For the Children's Division
3 For a 501(c)(3) not-for-profit corporation with more than 25 employees,
4 formed in 1991, with multiple office locations, and a principal
5 office located in a city with more than one hundred twenty-five
6 thousand but fewer than one hundred sixty thousand inhabitants
7 that primarily provides licensing, training, and advocacy of foster
8 parents, and operates a foster care neighborhood
9 From General Revenue Fund (1101) (including $500,000 one-time) ..........................$750,000
1 Section 11.445. To the Department of Social Services
2 For the Children’s Division
3 For foster care maintenance payments, provided ten percent (10%)
4 flexibility is allowed between Sections 11.090, 11.425, 11.435,
5 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500
6 From General Revenue Fund (1101) .......................................................................$53,077,630
7 From Department of Social Services Federal Fund (1610) .......................................20,500,957
8 From Temporary Assistance for Needy Families Federal Fund (1199) ....................20,314,073
9 From Alternative Care Trust Fund (1905) ........................................................... 2,000,000
10 Total .........................................................................................................................$95,892,660
CCS SS SCS HCS HB 2011 45
1 Section 11.450. To the Department of Social Services
2 For the Children’s Division
3 For room and board expenses for children placed in a Therapeutic Foster
4 Care (TFC) home setting
5 From General Revenue Fund (1101) .........................................................................$3,566,746
6 From Department of Social Services Federal Fund (1610) ................................. 1,902,621
7 Total ...........................................................................................................................$5,469,367
1 Section 11.455. To the Department of Social Services
2 For the Children’s Division
3 For room and board expenses for children placed in Qualified Residential
4 Treatment Program designated facilities, provided twenty
5 percent (20%) flexibility is allowed between subsections within
6 this section, and further provided ten percent (10%) flexibility is
7 allowed between Sections 11.090, 11.425, 11.435, 11.445,
8 11.455, 11.460, 11.485, 11.495, and 11.500, and further provided
9 ten percent (10%) flexibility is allowed between Sections 11.455,
10 11.460, and 11.755
11 For placements in a Qualified Residential Treatment Program/non-
12 Institution for Mental Disease (QRTP/non-IMD) designated
13 facilities
14 From General Revenue Fund (1101) .......................................................................$16,431,325
15 From Department of Social Services Federal Fund (1610) .........................................5,840,312
16 For placements in Qualified Residential Treatment Programs/Institution
17 for Mental Disease (QRTP/IMD) designated facilities
18 From General Revenue Fund (1101) ...........................................................................5,028,471
19 From Department of Social Services Federal Fund (1610) ................................. 841,752
20 Total .........................................................................................................................$28,141,860
1 Section 11.460. To the Department of Social Services
2 For the Children’s Division
3 For residential treatment placements and therapeutic treatment services;
4 and for the diversion of children from inpatient psychiatric
5 treatment and services provided through comprehensive,
6 expedited permanency systems of care for children and families,
7 provided five percent (5%) flexibility is allowed between
8 Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485,
CCS SS SCS HCS HB 2011 46
9 11.495, and 11.500, and further provided ten percent (10%)
10 flexibility is allowed between Sections 11.455, 11.460, and
11 11.755
12 From General Revenue Fund (1101) .......................................................................$22,594,667
13 From Department of Social Services Federal Fund (1610) .........................................7,310,026
14 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 13,351,973
15 Total .........................................................................................................................$43,256,666
1 Section 11.465. To the Department of Social Services
2 For the Children’s Division
3 For contractual payments for expenses related to training of foster
4 parents
5 From General Revenue Fund (1101) ............................................................................$603,513
6 From Department of Social Services Federal Fund (1610) ................................. 372,934
7 Total ..............................................................................................................................$976,447
1 Section 11.470. To the Department of Social Services
2 For the Children’s Division
3 For foster parent support
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$2,208,037
6 From Department of Social Services Federal Fund (1610) ................................. 1,246,315
7 Total ...........................................................................................................................$3,454,352
1 Section 11.475. To the Department of Social Services
2 For the Children’s Division
3 For costs associated with attending post-secondary education including,
4 but not limited to tuition, books, fees, room and board for current
5 or former foster youth, provided three percent (3%) flexibility is
6 allowed from this section to Section 11.910
7 From General Revenue Fund (1101) ............................................................................$188,848
8 From Department of Social Services Federal Fund (1610) .........................................1,050,000
9 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 450,000
10 Total ...........................................................................................................................$1,688,848
1 Section 11.480. To the Department of Social Services
2 For the Children’s Division
3 For comprehensive case management contracts through community
4 based organizations as described in Section 210.112, RSMo; the
CCS SS SCS HCS HB 2011 47
5 purpose of these contracts shall be to provide a system of care for
6 children living in foster care, independent living, or residential
7 care settings; services eligible under this provision may include,
8 but are not limited to, case management, foster care, residential
9 treatment, intensive in-home services, family reunification
10 services, and specialized recruitment and training of foster care
11 families, provided three percent (3%) flexibility is allowed from
12 this section to Section 11.910
13 From General Revenue Fund (1101) .......................................................................$35,251,584
14 From Department of Social Services Federal Fund (1610) ................................. 27,685,931
15 Total .........................................................................................................................$62,937,515
1 Section 11.485. To the Department of Social Services
2 For the Children’s Division
3 For adoption subsidy payments, provided ten percent (10%) flexibility is
4 allowed between subsections within this section, and further
5 provided five percent (5%) flexibility is allowed between
6 Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485,
7 11.495, and 11.500
8 From General Revenue Fund (1101) .......................................................................$54,682,297
9 From Department of Social Services Federal Fund (1610) .......................................52,523,879
10 From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,439,396
11 For guardianship subsidy payments, provided ten percent (10%)
12 flexibility is allowed between subsections within this section, and
13 further provided five percent (5%) flexibility is allowed between
14 Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485,
15 11.495, and 11.500
16 From General Revenue Fund (1101) .........................................................................19,947,541
17 From Department of Social Services Federal Fund (1610) .......................................15,798,651
18 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 11,860,598
19 Total .......................................................................................................................$169,252,362
1 Section 11.490. To the Department of Social Services
2 For the Children’s Division
3 For kinship navigator services
4 Program Distribution
5 From Department of Social Services Federal Fund (1610) ..........................................$372,318
CCS SS SCS HCS HB 2011 48
1 Section 11.495. To the Department of Social Services
2 For the Children's Division, provided five percent (5%) flexibility is
3 allowed between Sections 11.090, 11.425, 11.435, 11.445,
4 11.455, 11.460, 11.485, 11.495, and 11.500
5 For Family Resource Centers
6 From General Revenue Fund (1101) .......................................................................$10,403,564
7 From Department of Social Services Federal Fund (1610) .......................................14,383,316
8 From Temporary Assistance for Needy Families Federal Fund (1199) .........................989,075
9 For additional Behavioral Intervention Services in areas of need
10 From Department of Social Services Federal Fund (1610) ................................. 900,000
11 Total .........................................................................................................................$26,675,955
1 Section 11.500. To the Department of Social Services
2 For the Children’s Division
3 For independent living placements and transitional living services,
4 provided five percent (5%) flexibility is allowed between
5 Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485,
6 11.495, and 11.500
7 From General Revenue Fund (1101) .........................................................................$1,947,584
8 From Department of Social Services Federal Fund (1610) ................................. 4,171,219
9 Total ...........................................................................................................................$6,118,803
1 Section 11.505. To the Department of Social Services
2 For the Children’s Division
3 For Regional Child Assessment Centers, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.910
5 From General Revenue Fund (1101) .........................................................................$2,249,475
6 From Department of Social Services Federal Fund (1610) .........................................1,700,000
7 From Health Initiatives Fund (1275) ................................................................... 501,048
8 Total ...........................................................................................................................$4,450,523
1 Section 11.510. To the Department of Social Services
2 For the Children’s Division
3 For Regional Child Assessment Centers
4 For services and programs administered through the statewide
5 association of Regional Child Assessment Centers aimed at
6 preventing and combating the commercial sexual exploitation of
7 children
CCS SS SCS HCS HB 2011 49
8 From General Revenue Fund (1101) ............................................................................$500,000
1 Section 11.515. To the Department of Social Services
2 For the Children’s Division
3 For residential placement payments to counties for children in the
4 custody of juvenile courts
5 From Department of Social Services Federal Fund (1610) ..........................................$175,000
1 Section 11.520. To the Department of Social Services
2 For the Children’s Division
3 For Court Appointed Special Advocate (CASA) IV-E allowable training
4 costs
5 From Department of Social Services Federal Fund (1610) ..........................................$150,000
1 Section 11.525. To the Department of Social Services
2 For the Children’s Division
3 For the Child Abuse and Neglect Prevention Grant and Children’s Justice
4 Act Grant
5 From Department of Social Services Federal Fund (1610) .......................................$1,251,341
1 Section 11.530. To the Department of Social Services
2 For the Children's Division
3 For payments to one or more contractors to assist the Division with
4 application and administration of benefits on behalf of a child or
5 youth and to establish and administer accounts for a child or
6 youth which include but not limited to a special needs trust, a
7 pooled special needs trust, an ABLE account, or any other trust
8 account
9 From General Revenue Fund (1101) .........................................................................$1,356,992
10 From Department of Social Services Federal Fund (1610) ................................. 507,008
11 Total ...........................................................................................................................$1,864,000
1 Section 11.535. To the Department of Social Services
2 For the Children’s Division
3 For transactions involving personal funds of children to: transfer funds
4 to accounts set up for the child; to make payments directly to the
5 child; to return the funds to the corresponding funding agency; to
6 fund "Unmet needs", needs for which the division is not required
CCS SS SCS HCS HB 2011 50
7 by law to provide financial support; or dispose of the funds as
8 otherwise required by law
9 From Alternative Care Trust Fund (1905) ...............................................................$12,000,000
1 Section 11.540. To the Department of Social Services
2 For the Division of Youth Services
3 For the Central Office and regional offices, provided three percent (3%)
4 flexibility is allowed from this section to Section 11.910
5 Personal Service.............................................................................................$1,104,048
6 Expense and Equipment........................................................................... 81,097
7 From General Revenue Fund (1101) ...........................................................................1,185,145
8 Personal Service..................................................................................................262,539
9 Expense and Equipment........................................................................... 13,855
10 From Title XIX Department of Social Services Medicaid Assistance
11 Federal Fund (1163)............................................................................................276,394
12 Personal Service..................................................................................................984,541
13 Expense and Equipment........................................................................... 86,779
14 From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,071,320
15 Expense and Equipment
16 From Youth Services Treatment Fund (1843) ..................................................... 999
17 Total (Not to exceed 39.30 F.T.E.) ............................................................................$2,533,858
1 Section 11.545. To the Department of Social Services
2 For the Division of Youth Services
3 For treatment services, including foster care and contractual payments,
4 provided up to $500,000 can be used for juvenile court diversion,
5 provided ten percent (10%) flexibility is allowed between federal
6 funds, and further provided five percent (5%) flexibility is
7 allowed between personal service and expense and equipment,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 11.910
10 Personal Service...........................................................................................$25,775,382
11 Expense and Equipment........................................................................... 1,095,642
12 From General Revenue Fund (1101) .........................................................................26,871,024
13 Personal Service...............................................................................................5,257,097
CCS SS SCS HCS HB 2011 51
14 Expense and Equipment........................................................................... 3,065,899
15 From Title XIX Department of Social Services Medicaid Assistance
16 Federal Fund (1163).........................................................................................8,322,996
17 Personal Service...............................................................................................1,149,407
18 Expense and Equipment........................................................................... 1,125,033
19 From Department of Social Services Federal Fund (1610) .........................................2,274,440
20 Personal Service.............................................................................................13,190,742
21 Expense and Equipment........................................................................... 1,514,715
22 From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,705,457
23 Personal Service...............................................................................................3,999,304
24 Expense and Equipment........................................................................... 3,854,832
25 From Department of Social Services Educational Improvement Fund
26 (1620) ...............................................................................................................7,854,136
27 Personal Service..................................................................................................178,072
28 Expense and Equipment........................................................................... 9,106
29 From Health Initiatives Fund (1275) ..............................................................................187,178
30 Expense and Equipment
31 From Youth Services Products Fund (1764) ......................................................................5,000
32 For overtime to non-exempt state employees and/or for paying otherwise
33 authorized personal service expenditures in lieu of such overtime
34 payments; non-exempt state employees identified by Section
35 105.935, RSMo, will be paid first with any remaining funds to be
36 used to pay overtime to any other state employees
37 From General Revenue Fund (1101) ...........................................................................1,133,414
38 For payment distribution of Social Security benefits received on behalf
39 of youth in care
40 From Division of Youth Services Child Benefits Fund (1727) ........................... 200,000
41 Total (Not to exceed 1,016.38 F.T.E.) .....................................................................$61,553,645
1 Section 11.550. To the Department of Social Services
2 For the Division of Youth Services
CCS SS SCS HCS HB 2011 52
3 For incentive payments to counties for community-based treatment
4 programs for youth, provided three percent (3%) flexibility is
5 allowed from this section to Section 11.910
6 From General Revenue Fund (1101) .........................................................................$3,479,486
7 From Gaming Commission Fund (1286) ............................................................. 500,000
8 Total ...........................................................................................................................$3,979,486
1 Section 11.600. To the Department of Social Services
2 For the MO HealthNet Division
3 For administrative services, provided three percent (3%) flexibility is
4 allowed from this section to Section 11.910
5 Personal Service.............................................................................................$5,035,508
6 Expense and Equipment........................................................................... 6,452,304
7 From General Revenue Fund (1101) .........................................................................11,487,812
8 Personal Service...............................................................................................8,983,345
9 Expense and Equipment........................................................................... 14,312,317
10 From Department of Social Services Federal Fund (1610) .......................................23,295,662
11 Personal Service..................................................................................................555,338
12 Expense and Equipment........................................................................... 55,553
13 From Pharmacy Rebates Fund (1114) ............................................................................610,891
14 Personal Service..................................................................................................528,593
15 Expense and Equipment........................................................................... 5,988,041
16 From Third Party Liability Collections Fund (1120)...................................................6,516,634
17 Personal Service..................................................................................................135,943
18 Expense and Equipment........................................................................... 232,708
19 From Federal Reimbursement Allowance Fund (1142) .................................................368,651
20 Personal Service....................................................................................................34,086
21 Expense and Equipment........................................................................... 356
22 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................34,442
23 Personal Service..................................................................................................113,122
24 Expense and Equipment........................................................................... 10,281
25 From Nursing Facility Quality of Care Fund (1271) ......................................................123,403
26 Personal Service..................................................................................................566,877
CCS SS SCS HCS HB 2011 53
27 Expense and Equipment........................................................................... 41,385
28 From Health Initiatives Fund (1275) ..............................................................................608,262
29 Personal Service....................................................................................................57,920
30 Expense and Equipment........................................................................... 425,372
31 From Ground Emergency Medical Transportation Fund (1422) ....................................483,292
32 Expense and Equipment
33 From Life Sciences Research Trust Fund (1763) ...............................................................3,000
34 Personal Service
35 From Missouri Rx Plan Fund (1779) ..............................................................................443,129
36 Personal Service....................................................................................................23,682
37 Expense and Equipment........................................................................... 878,466
38 From Ambulance Service Reimbursement Allowance Fund (1958) ................... 902,148
39 Total (Not to exceed 239.70 F.T.E.) ........................................................................$44,877,326
1 Section 11.605. To the Department of Social Services
2 For the MO HealthNet Division
3 For clinical services management related to the administration of the MO
4 HealthNet Pharmacy fee-for-service and managed care programs
5 and administration of the Missouri Rx Plan, provided three
6 percent (3%) flexibility is allowed from this section to Section
7 11.910
8 Expense and Equipment
9 From General Revenue Fund (1101) ............................................................................$450,191
10 From Department of Social Services Federal Fund (1610) .........................................2,214,032
11 From Pharmacy Rebates Fund (1114) ............................................................................497,648
12 From Third Party Liability Collections Fund (1120)......................................................924,911
13 From Missouri Rx Plan Fund (1779) ................................................................... 62,947
14 Total ...........................................................................................................................$4,149,729
1 Section 11.610. To the Department of Social Services
2 For the MO HealthNet Division
3 For MO HealthNet Transformation initiatives
4 Personal Service................................................................................................$447,214
5 Expense and Equipment........................................................................... 1,460,009
6 From General Revenue Fund (1101) ...........................................................................1,907,223
CCS SS SCS HCS HB 2011 54
7 Personal Service..................................................................................................449,717
8 Expense and Equipment........................................................................... 6,064,965
9 From Department of Social Services Federal Fund (1610) .........................................6,514,682
10 For costs to assess existing health data systems and establish a unified,
11 statewide health data standard and governance approach to
12 support data sharing and modernization efforts across state health
13 agencies
14 Expense and Equipment
15 From General Revenue Fund (1101) (one-time) .........................................................1,495,000
16 For purposes of a NEMT program redesign, including analysis and
17 implementation support, to ensure efficiency and accountability
18 in the operations of NEMT, and for the purposes of a rapid
19 response review of the Medicaid program for Fraud, Waste and
20 Abuse current state and recommendations
21 Personal Service....................................................................................................55,419
22 Expense and Equipment (including $1,652,789 one-time)...................... 1,659,128
23 From General Revenue Fund (1101) ...........................................................................1,714,547
24 Personal Service....................................................................................................43,543
25 Expense and Equipment (including $1,652,192 one-time)...................... 1,657,173
26 From Department of Social Services Federal Fund (1610) ................................. 1,700,716
27 Total (Not to exceed 14.00 F.T.E.) ..........................................................................$13,332,168
1 Section 11.615. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Rural Health Transformation Program, provided twenty five
4 percent (25%) flexibility is allowed between subsections within
5 this section
6 For the Rural Health Transformation Office
7 For Administrative Expenses
8 Personal Service.............................................................................................$1,095,992
9 Expense and Equipment............................................................................ 209,074
10 From Rural Health Transformation Fund (1125).........................................................1,305,066
11 For Regional Coordinating Networks and Local Community Hubs
12 Program Distribution
13 From Rural Health Transformation Fund (1125).......................................................46,200,267
CCS SS SCS HCS HB 2011 55
14 For Alternative Payment Models and Shared-Savings Models
15 Program Distribution
16 From Rural Health Transformation Fund (1125).......................................................22,520,316
17 For digital backbone to create statewide interoperability
18 Program Distribution
19 From Rural Health Transformation Fund (1125).......................................................62,494,555
20 For Rural Health Workforce Programs
21 Program Distribution
22 From Rural Health Transformation Fund (1125).......................................................17,877,529
23 For continuing medical education of physicians that will be required to
24 obtain one (1) hour of nutritional training from 20 CSR 2150-
25 2.125
26 Program Distribution
27 From Rural Health Transformation Fund (1125).........................................................1,000,000
28 For Provider Transformation
29 Program Distribution
30 From Rural Health Transformation Fund (1125)................................................. 64,879,085
31 Total (Not to exceed 13.46 F.T.E.) ........................................................................$216,276,818
1 Section 11.620. To the Department of Social Services
2 For the MO HealthNet Division
3 For the MO HealthNet Data Management Office administrative expenses
4 Personal Service................................................................................................$225,394
5 Expense and Equipment........................................................................... 9,541
6 From General Revenue Fund (1101) ..............................................................................234,935
7 Personal Service..................................................................................................453,477
8 Expense and Equipment.......................................................................... 23,632
9 From Department of Social Services Federal Fund (1610) ................................. 477,109
10 Total (Not to exceed 10.00 F.T.E.) ...............................................................................$712,044
1 Section 11.625. To the Department of Social Services
2 For the MO HealthNet Division
3 For fees associated with third-party collections and other revenue
4 maximization cost avoidance fees
5 Expense and Equipment
CCS SS SCS HCS HB 2011 56
6 From Department of Social Services Federal Fund (1610) .....................................$12,200,000
7 From Third Party Liability Collections Fund (1120)........................................... 12,200,000
8 Total .........................................................................................................................$24,400,000
1 Section 11.629. To the Department of Social Services
2 For the MO HealthNet Division
3 For contracted staff to support the procurement, implementation, and
4 oversight of modular Medicaid enterprise systems, including
5 planning, procurement, transition, and vendor management
6 activities
7 Personal Service..................................................................................................$79,984
8 Expense and Equipment........................................................................... 10,380
9 From General Revenue Fund (1101) ................................................................................90,364
10 Personal Service..................................................................................................466,825
11 Expense and Equipment........................................................................... 24,220
12 From Department of Social Services Federal Fund (1610) ................................. 491,045
13 Total (Not to exceed 8.00 F.T.E.) .................................................................................$581,409
1 Section 11.630. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Missouri Medicaid Information System (MMIS)
4 For the operation of the information systems, provided ten percent (10%)
5 flexibility is allowed between subsections within this section, and
6 further provided three percent (3%) flexibility is allowed from
7 this section to Section 11.910
8 Expense and Equipment
9 From General Revenue Fund (1101) (including $125,000 one-time) .......................$1,125,000
10 From Department of Social Services Federal Fund (1610)
11 (including $375,000 one-time).........................................................................1,375,000
12 From Uncompensated Care Fund (1108)........................................................................430,000
13 From Health Initiatives Fund (1275) ...........................................................................1,591,687
14 For the operation of the Business Intelligence Solution – Enterprise Data
15 Warehouse (BIS-EDW)
16 Expense and Equipment
17 From General Revenue Fund (1101) ...........................................................................1,991,593
18 From Department of Social Services Federal Fund (1610) .........................................7,770,710
CCS SS SCS HCS HB 2011 57
19 For the operation of the Beneficiary Support and Premiums Collections
20 Solution and Services (BSPC) – Enrollment Broker and the
21 procurement of a MMIS Enrollment Broker Solution
22 Expense and Equipment
23 From General Revenue Fund (1101) ...........................................................................4,812,763
24 From Department of Social Services Federal Fund (1610) .........................................8,934,245
25 For the operation of the Clinical Management Services and Pharmacy
26 Claims and Prior Authorization (CMSP) and the procurement of
27 a MMIS Prior Authorization Solution and Interoperability Rule
28 Expense and Equipment
29 From General Revenue Fund (1101) ...........................................................................6,517,762
30 From Department of Social Services Federal Fund (1610) .......................................25,657,641
31 For the operation of the pharmacy system and support services -
32 Pharmacy Solution
33 Expense and Equipment
34 From General Revenue Fund (1101) ...........................................................................1,477,652
35 From Department of Social Services Federal Fund (1610) .......................................12,567,081
36 For the operation of the Managed Care Contract Management Tool
37 Expense and Equipment
38 From General Revenue Fund (1101) ..............................................................................688,826
39 From Department of Social Services Federal Fund (1610) .........................................5,833,540
40 For the MMIS Fiscal Agent Contract and the procurement of a MMIS
41 Core Claims Solution
42 Expense and Equipment
43 From General Revenue Fund (1101) .........................................................................27,493,017
44 From Department of Social Services Federal Fund (1610) .......................................85,755,382
45 For the operation of the MMIS EVV Aggregator Solution (EAS) and the
46 procurement of a MMIS EVV Solution
47 Expense and Equipment
48 From General Revenue Fund (1101) ...........................................................................1,841,186
49 From Department of Social Services Federal Fund (1610) .........................................7,835,958
50 For transition services related to the procurement of MMIS solutions
51 Expense and Equipment
52 From General Revenue Fund (1101) ...........................................................................2,442,192
CCS SS SCS HCS HB 2011 58
53 From Department of Social Services Federal Fund (1610) ................................. 21,979,722
54 Total .......................................................................................................................$228,120,957
1 Section 11.635. To the Department of Social Services
2 For the MO HealthNet Division
3 For the purpose of supporting the transformation of any or all of the
4 state's existing Health Information Exchanges into a Health Data
5 Utility by providing funds to enhance the existing HIE
6 infrastructure for the purpose of data analysis focused on
7 supporting MO HealthNet. Data analytics provided through the
8 HIE(s) shall provide analysis to MO HealthNet and members
9 focused on enhancing care delivery and system efficiency in the
10 MO HealthNet program and improving health care delivery and
11 outcomes in under-served communities. All HIEs shall be
12 required to maintain strict compliance with all patient privacy
13 protections under HIPAA and any other applicable state or
14 federal laws
15 From General Revenue Fund (1101) .........................................................................$5,000,000
16 From Department of Social Services Federal Fund (1610) ................................. 45,000,000
17 Total .........................................................................................................................$50,000,000
1 Section 11.640. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Money Follows the Person Program
4 From Department of Social Services Federal Fund (1610) .......................................$1,532,549
1 Section 11.700. To the Department of Social Services
2 For the MO HealthNet Division, provided three percent (3%) flexibility
3 is allowed from this section to Section 11.910
4 For pharmaceutical payments under the MO HealthNet fee-for-service
5 program, professional fees for pharmacists, and for a
6 comprehensive chronic care risk management program, provided
7 ten percent (10%) flexibility is allowed between this subsection
8 and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735,
9 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830,
10 and 11.840
11 From General Revenue Fund (1101) .....................................................................$112,672,971
12 From Title XIX Department of Social Services Medicaid Assistance
13 Federal Fund (1163).....................................................................................904,447,912
CCS SS SCS HCS HB 2011 59
14 From Pharmacy Rebates Fund (1114) .....................................................................260,835,622
15 From Third Party Liability Collections Fund (1120)...................................................4,217,574
16 From Pharmacy Reimbursement Allowance Fund (1144) ........................................35,376,122
17 From Health Initiatives Fund (1275) ...........................................................................3,543,350
18 From Premium Fund (1885) ........................................................................................3,800,000
19 For Medicare Part D Clawback payments, provided ten percent (10%)
20 flexibility is allowed between this subsection and Sections
21 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
22 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
23 From General Revenue Fund (1101) ................................................................... 393,562,240
24 Total ....................................................................................................................$1,718,455,791
1 Section 11.705. To the Department of Social Services
2 For the MO HealthNet Division
3 For the purpose of funding pharmaceutical payments under the Missouri
4 Rx Plan authorized by Sections 208.780 through 208.798, RSMo
5 From General Revenue Fund (1101) .........................................................................$5,186,226
6 From Missouri Rx Plan Fund (1779) ................................................................... 1,188,774
7 Total ...........................................................................................................................$6,375,000
1 Section 11.710. To the Department of Social Services
2 For the MO HealthNet Division
3 For Pharmacy Reimbursement Allowance payments as provided by law
4 From Title XIX Department of Social Services Medicaid Assistance
5 Federal Fund (1163).......................................................................................$8,390,850
6 From Pharmacy Reimbursement Allowance Fund (1144) ................................. 4,609,150
7 Total .........................................................................................................................$13,000,000
1 Section 11.715. To the Department of Social Services
2 For the MO HealthNet Division
3 For physician services and related services including, but not limited to,
4 clinic and podiatry services, telemedicine services, physician
5 sponsored services and fees, laboratory and x-ray services,
6 asthma related services, diabetes prevention and obesity related
7 services, services provided by chiropractic physicians, and
8 family planning services under the MO HealthNet fee-for-service
9 program, and for a comprehensive chronic care risk management
10 program, and Major Medical Prior Authorization, provided ten
CCS SS SCS HCS HB 2011 60
11 percent (10%) flexibility is allowed between this subsection and
12 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
13 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and
14 11.840
15 From General Revenue Fund (1101) .....................................................................$215,794,227
16 From Title XIX Department of Social Services Medicaid Assistance
17 Federal Fund (1163).....................................................................................405,519,822
18 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................10,000
19 From Health Initiatives Fund (1275) ...........................................................................1,427,081
20 From Third Party Liability Collections Fund (1120)......................................................241,046
21 For payment of physician and related services to Certified Community
22 Behavioral Health Organizations (CCBHO), provided that
23 Applied Behavioral Analysis (ABA) services are included in the
24 CCBHO Prospective Payment System
25 From General Revenue Fund (1101) .........................................................................50,329,761
26 From Title XIX Department of Social Services Medicaid Assistance
27 Federal Fund (1163)................................................................................. 56,716,924
28 Total .......................................................................................................................$730,038,861
1 Section 11.720. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Program for All-Inclusive Care for the Elderly (PACE), provided
4 ten percent (10%) flexibility is allowed between this subsection
5 and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735,
6 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830,
7 and 11.840
8 From General Revenue Fund (1101) .........................................................................$5,566,850
9 From Title XIX Department of Social Services Medicaid Assistance
10 Federal Fund (1163)................................................................................. 9,871,070
11 Total .........................................................................................................................$15,437,920
1 Section 11.725. To the Department of Social Services
2 For the MO HealthNet Division
3 For dental services under the MO HealthNet fee-for-service program,
4 including adult dental procedure codes (Tier 1-6), provided ten
5 percent (10%) flexibility is allowed between this subsection and
6 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
CCS SS SCS HCS HB 2011 61
7 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and
8 11.840
9 From General Revenue Fund (1101) .........................................................................$5,541,033
10 From Title XIX Department of Social Services Medicaid Assistance
11 Federal Fund (1163).........................................................................................9,950,833
12 From Health Initiatives Fund (1275) ................................................................... 71,162
13 Total .........................................................................................................................$15,563,028
1 Section 11.730. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to third-party insurers, employers, or policy holders for
4 health insurance, provided ten percent (10%) flexibility is
5 allowed between this subsection and Sections 11.700, 11.715,
6 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775,
7 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided
8 three percent (3%) flexibility is allowed from this section to
9 Section 11.910
10 From General Revenue Fund (1101) .....................................................................$136,900,455
11 From Title XIX Department of Social Services Medicaid Assistance
12 Federal Fund (1163)................................................................................. 270,491,167
13 Total .......................................................................................................................$407,391,622
1 Section 11.735. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding long-term care services
4 For care in nursing facilities under the MO HealthNet fee-for-service
5 program and for contracted services to develop model policies
6 and practices that improve the quality of life for long-term care
7 residents, provided ten percent (10%) flexibility is allowed
8 between this subsection and Sections 11.700, 11.715, 11.720,
9 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
10 11.815, 11.825, 11.830, and 11.840, and further provided five
11 percent (5%) flexibility is allowed from this subsection to the
12 value based incentive payments to nursing facilities subsection
13 within this section
14 From General Revenue Fund (1101) .....................................................................$340,909,914
15 From Title XIX Department of Social Services Medicaid Assistance
16 Federal Fund (1163).....................................................................................760,903,092
17 From Uncompensated Care Fund (1108)...................................................................58,516,478
CCS SS SCS HCS HB 2011 62
18 From Third Party Liability Collections Fund (1120)...................................................6,992,981
19 From Nursing Facility Reimbursement Allowance Fund (1196) ................................9,500,000
20 For value-based incentive payments to nursing facilities
21 From General Revenue Fund (1101) .........................................................................12,330,612
22 From Title XIX Department of Social Services Medicaid Assistance
23 Federal Fund (1163).......................................................................................22,447,591
24 For home health for the elderly under the MO HealthNet fee-for-service
25 program, provided ten percent (10%) flexibility is allowed
26 between this subsection and Sections 11.700, 11.715, 11.720,
27 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
28 11.815, 11.825, 11.830, and 11.840
29 From General Revenue Fund (1101) ..............................................................................834,886
30 From Title XIX Department of Social Services Medicaid Assistance
31 Federal Fund (1163).........................................................................................2,052,783
32 From Health Initiatives Fund (1275) ................................................................... 159,305
33 Total ....................................................................................................................$1,214,647,642
1 Section 11.740. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding long-term care services
4 For Nursing Facility Reimbursement Allowance payments as provided
5 by law
6 From Title XIX Department of Social Services Medicaid Assistance
7 Federal Fund (1163)...................................................................................$240,741,466
8 From Nursing Facility Reimbursement Allowance Fund (1196) ........................ 132,240,896
9 Total .......................................................................................................................$372,982,362
1 Section 11.745. To the Department of Social Services
2 For the MO HealthNet Division
3 For rehabilitative and preventative care services ordered by a physician
4 and delivered by an Assisted Living Facility, provided one
5 hundred percent (100%) flexibility is allowed between funds
6 From General Revenue Fund (1101) .......................................................................................$1
7 From Title XIX Department of Social Services Medicaid Assistance
8 Federal Fund (1163)................................................................................. 1
9 Total .........................................................................................................................................$2
CCS SS SCS HCS HB 2011 63
1 Section 11.750. To the Department of Social Services
2 For the MO HealthNet Division
3 For publicly funded long-term care services and support contracts and
4 funding supplemental payments for care in nursing facilities
5 under the nursing facility upper payment limit
6 From Title XIX Department of Social Services Medicaid Assistance
7 Federal Fund (1163).......................................................................................$7,068,173
8 From Long Term Support UPL Fund (1724)....................................................... 3,882,595
9 Total .........................................................................................................................$10,950,768
1 Section 11.755. To the Department of Social Services
2 For the MO HealthNet Division
3 For all other non-institutional services including, but not limited to,
4 rehabilitation, optometry, audiology, ambulance, non-emergency
5 medical transportation, durable medical equipment, and
6 eyeglasses under the MO HealthNet fee-for-service program, and
7 for rehabilitation services provided by residential treatment
8 facilities as authorized by the Children’s Division for children in
9 the care and custody of the Children’s Division, provided ten
10 percent (10%) flexibility is allowed between this subsection and
11 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
12 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and
13 11.840, and further provided five percent (5%) flexibility is
14 allowed between Sections 11.455, 11.460, and 11.755
15 From General Revenue Fund (1101) (including $601,942 one-time) ...................$144,819,437
16 From Title XIX Department of Social Services Medicaid Assistance
17 Federal Fund (1163) (including $1,095,821 one-time)................................266,965,185
18 From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,414,043
19 From Health Initiatives Fund (1275) ..............................................................................194,881
20 From Ambulance Service Reimbursement Allowance Fund (1958) .........................10,491,302
21 For non-emergency medical transportation, provided ten percent (10%)
22 flexibility is allowed between this subsection and Sections
23 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
24 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
25 From General Revenue Fund (1101) .........................................................................20,488,557
26 From Title XIX Department of Social Services Medicaid Assistance
27 Federal Fund (1163).......................................................................................37,775,900
CCS SS SCS HCS HB 2011 64
28 For the federal share of MO HealthNet reimbursable non-emergency
29 medical transportation for public entities
30 From Title XIX Department of Social Services Medicaid Assistance
31 Federal Fund (1163)................................................................................. 2,555,469
32 Total .......................................................................................................................$484,704,774
1 Section 11.760. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to providers of ground emergency medical transportation
4 From Title XIX Department of Social Services Medicaid Assistance
5 Federal Fund (1163).....................................................................................$40,659,479
6 From Ground Emergency Medical Transportation Fund (1422) ......................... 22,533,055
7 Total .........................................................................................................................$63,192,534
1 Section 11.765. To the Department of Social Services
2 For the MO HealthNet Division
3 For complex rehabilitation technology items classified within the
4 Medicare program as of January 1, 2014 as durable medical
5 equipment that are individually configured for individuals to
6 meet their specific and unique medical, physical, and functional
7 needs and capacities for basic activities of daily living and
8 instrumental activities of daily living identified as medically
9 necessary to prevent hospitalization and/or institutionalization of
10 a complex needs patient; such items shall include, but not be
11 limited to, complex rehabilitation power wheelchairs, highly
12 configurable manual wheelchairs, adaptive seating and
13 positioning systems, and other specialized equipment such as
14 standing frames and gait trainers, provided ten percent (10%)
15 flexibility is allowed between this section and Sections 11.700,
16 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770,
17 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further
18 provided three percent (3%) flexibility is allowed from this
19 section to Section 11.910
20 From General Revenue Fund (1101) .........................................................................$4,343,425
21 From Title XIX Department of Social Services Medicaid Assistance
22 Federal Fund (1163)................................................................................. 8,587,237
23 Total .........................................................................................................................$12,930,662
1 Section 11.770. To the Department of Social Services
CCS SS SCS HCS HB 2011 65
2 For the MO HealthNet Division
3 For payment to comprehensive prepaid health care plans for the general
4 plan as provided by federal or state law or for payments to
5 programs authorized by the Frail Elderly Demonstration Project
6 Waiver as provided by the Omnibus Budget Reconciliation Act
7 of 1990 (P.L.101-508, Section 4744) and by Section 208.152
8 (16), RSMo, provided that the department shall implement
9 programs or measures to achieve cost-savings through
10 emergency room services reform, and further provided that MO
11 HealthNet eligibles described in Section 501(a)(1)(D) of Title V
12 of the Social Security Act may voluntarily enroll in the Managed
13 Care Program, and further provided that the Department shall
14 direct its contracted actuary to develop an Aged, Blind, and
15 Disabled rate cell inside the MO HealthNet Managed Care
16 program to reflect the cost of those members choosing to be
17 enrolled in a managed care plan, and further provided ten percent
18 (10%) flexibility is allowed between this subsection and Sections
19 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
20 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
21 From General Revenue Fund (1101) (including $883,681 one-time) ...................$494,178,723
22 From Title XIX Department of Social Services Medicaid Assistance
23 Federal Fund (1163) (including $1,608,723 one-time).............................1,852,370,489
24 From Uncompensated Care Fund (1108)...................................................................33,848,436
25 From Health Initiatives Fund (1275) .........................................................................18,590,380
26 From Federal Reimbursement Allowance Fund (1142) ..........................................318,659,260
27 From Healthy Families Trust Fund (1625) ................................................................14,435,373
28 From Life Sciences Research Trust Fund (1763) ......................................................26,697,272
29 From Premium Fund (1885) ........................................................................................9,259,854
30 From Ambulance Service Reimbursement Allowance Fund (1958) ...........................2,892,711
31 From Department of Social Services Intergovernmental Transfer Fund
32 (1139) .............................................................................................................34,807,441
33 For supplemental payments to Tier 1 Safety Net Hospitals, or to any
34 affiliated physician group that provides physicians for any Tier 1
35 Safety Net Hospital, for physician and other healthcare
36 professional services as approved by the Centers for Medicare
37 and Medicaid Services
38 From Title XIX Department of Social Services Medicaid Assistance
39 Federal Fund (1163).......................................................................................44,621,663
CCS SS SCS HCS HB 2011 66
40 From Department of Social Services Intergovernmental Transfer Fund
41 (1139) .............................................................................................................24,510,978
42 For payments to providers of public ground emergency medical
43 transportation, pursuant to Sections 208.1030 and 208.1032
44 RSMo, when providing services to persons paid for under this
45 section
46 From Title XIX Department of Social Services Medicaid Assistance
47 Federal Fund (1163).......................................................................................33,337,870
48 From Ground Emergency Medical Transportation Fund (1422) ......................... 18,828,147
49 Total ....................................................................................................................$2,927,038,597
1 Section 11.771. To the Department of Social Services
2 For the MO HealthNet Division
3 For a mobile MRI and trailer for a hospital located in any city with more
4 than sixteen thousand but fewer than eighteen thousand
5 inhabitants and located in more than one county
6 From General Revenue Fund (1101) (one-time) .......................................................$1,500,000
1 Section 11.775. To the Department of Social Services
2 For the MO HealthNet Division
3 For payment to a comprehensive prepaid health care plan for the
4 specialty plan as provided by federal or state law or for payments
5 to programs authorized by the Frail Elderly Demonstration
6 Project Waiver as provided by the Omnibus Budget
7 Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by
8 Section 208.152 (16), RSMo, and further provided ten percent
9 (10%) flexibility is allowed between this section and Sections
10 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
11 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
12 From General Revenue Fund (1101) .....................................................................$130,098,206
13 From Title XIX Department of Social Services Medicaid Assistance
14 Federal Fund (1163).....................................................................................286,192,727
15 From Federal Reimbursement Allowance Fund (1142) ............................................45,994,611
16 From Ambulance Service Reimbursement Allowance Fund (1958) ..............................300,000
17 From Department of Social Services Intergovernmental Transfer Fund
18 (1139) ...............................................................................................................6,221,543
19 For payments to providers of public ground emergency medical
20 transportation, pursuant to Sections 208.1030 and 208.1032
CCS SS SCS HCS HB 2011 67
21 RSMo, when providing services to persons paid for under this
22 section
23 From Title XIX Department of Social Services Medicaid Assistance
24 Federal Fund (1163).........................................................................................2,261,087
25 From Ground Emergency Medical Transportation Fund (1422) ......................... 1,276,988
26 Total .......................................................................................................................$472,345,162
1 Section 11.780. To the Department of Social Services
2 For the MO HealthNet Division
3 For hospital care under the MO HealthNet fee-for-service program,
4 graduate medical education, and for a comprehensive chronic
5 care risk management program, provided that the MO HealthNet
6 Division shall track payments to out-of-state hospitals by
7 location, and further provided the department seek a waiver of
8 the institutions for mental disease (IMD) exclusion for inpatient
9 mental health treatment for MO HealthNet participants in
10 psychiatric hospitals pursuant to Section 12003 of the 21st
11 Century Cures Act with the state share through the federal
12 reimbursement allowance; and further provided ten percent
13 (10%) flexibility is allowed between this subsection and Sections
14 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
15 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
16 From General Revenue Fund (1101) .......................................................................$26,705,177
17 From Title XIX Department of Social Services Medicaid Assistance
18 Federal Fund (1163).....................................................................................354,053,962
19 From Federal Reimbursement Allowance Fund (1142) ..........................................119,171,256
20 From Pharmacy Reimbursement Allowance Fund (1144) ...............................................15,709
21 For rate increases for inpatient hospital psychiatric care
22 From General Revenue Fund (1101) ...........................................................................8,363,750
23 From Title XIX Department of Social Services Medicaid Assistance
24 Federal Fund (1163).......................................................................................16,136,250
25 From Federal Reimbursement Allowance Fund (1142) .................................................500,000
26 For Safety Net Payments
27 From Healthy Families Trust Fund (1625) .......................................................... 30,365,444
28 Total .......................................................................................................................$555,311,548
1 Section 11.785. To the Department of Social Services
CCS SS SCS HCS HB 2011 68
2 For the MO HealthNet Division
3 For the Transformation of Rural Community Health (ToRCH) Rural
4 Hospital Health Hub
5 From General Revenue Fund (1101) .........................................................................$3,750,000
6 From Title XIX Department of Social Services Medicaid Assistance
7 Federal Fund (1163).........................................................................................7,500,000
8 From Federal Reimbursement Allowance Fund (1142) ...................................... 3,750,000
9 Total .........................................................................................................................$15,000,000
1 Section 11.790. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to Tier 1 Safety Net Hospitals for enhanced rates to
4 providers and to plan and develop a regional Barriers to Care
5 proposal while maximizing eligible costs for federal Medicaid
6 funds, utilizing current state and local funding sources as match
7 for services that are not currently matched with federal Medicaid
8 payments
9 From Title XIX Department of Social Services Medicaid Assistance
10 Federal Fund (1163).....................................................................................$12,613,590
11 From Department of Social Services Intergovernmental Transfer Fund
12 (1139) ....................................................................................................... 1,709,202
13 Total .........................................................................................................................$14,322,792
1 Section 11.795. To the Department of Social Services
2 For the MO HealthNet Division,
3 For indirect medical education (IME) payments to public acute care
4 safety net hospitals who serve as the primary teaching hospitals
5 for the state’s two public medical schools, University of
6 Missouri-Columbia School of Medicine and University of
7 Missouri-Kansas City School of Medicine; payments from this
8 section are for the difference between IME payments paid under
9 the Diagnosis-Related Group (DRG) methodology and 100% of
10 allowable funds
11 From Title XIX Department of Social Services Medicaid Assistance
12 Federal Fund (1163).....................................................................................$12,721,240
13 From Department of Social Services Intergovernmental Transfer Fund
14 (1139) ....................................................................................................... 6,987,862
15 Total .........................................................................................................................$19,709,102
CCS SS SCS HCS HB 2011 69
1 Section 11.800. To the Department of Social Services
2 For the MO HealthNet Division provided three percent (3%) flexibility
3 is allowed from this section to Section 11.910
4 For Federally Qualified Health Centers (FQHCs)
5 For grants to Federally Qualified Health Centers
6 From General Revenue Fund (1101) ............................................................................$257,732
1 Section 11.805. To the Department of Social Services
2 For the MO HealthNet Division
3 For Federally Qualified Health Centers (FQHCs)
4 For a grant program for a substance abuse prevention network for a
5 FQHC located in a county with more than two hundred sixty
6 thousand but fewer than three hundred thousand inhabitants
7 From General Revenue Fund (1101) .........................................................................$1,000,000
8 From Department of Social Services Federal Fund (1610) ............................................250,000
9 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,100,000
10 For a grant program for a substance abuse prevention network
11 From General Revenue Fund (1101) ...........................................................................1,000,000
12 From Department of Social Services Federal Fund (1610) ............................................250,000
13 From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,100,000
14 Total ...........................................................................................................................$5,700,000
1 Section 11.810. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to technical assistance contractors under Section 330(l) or
4 330(m) of the Public Health Services Act to assist FQHCs with
5 outreach and engagement of Medicaid beneficiaries assigned to
6 FQHCs, to address gaps in preventive services and management
7 of chronic conditions, and for incentive payments
8 From General Revenue Fund (1101) .........................................................................$1,918,645
9 From Department of Social Services Federal Fund (1610) ................................. 1,918,645
10 Total ...........................................................................................................................$3,837,290
1 Section 11.815. To the Department of Social Services
2 For the MO HealthNet Division
3 For health homes, provided ten percent (10%) flexibility is allowed
4 between this subsection and Sections 11.700, 11.715, 11.720,
CCS SS SCS HCS HB 2011 70
5 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
6 11.815, 11.825, 11.830, and 11.840
7 From General Revenue Fund (1101) .........................................................................$4,270,273
8 From Title XIX Department of Social Services Medicaid Assistance
9 Federal Fund (1163).......................................................................................21,978,561
10 From Federal Reimbursement Allowance Fund (1142) ...................................... 7,893,011
11 Total .........................................................................................................................$34,141,845
1 Section 11.820. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to hospitals under the Federal Reimbursement Allowance
4 Program including state costs to pay for an independent audit of
5 Disproportionate Share Hospital payments as required by the
6 Centers for Medicare and Medicaid Services, for the expenses of
7 the Poison Control Center in order to provide services to all
8 hospitals within the state
9 For a continuation of the services provided through Medicaid Emergency
10 Psychiatric Demonstration as required by Section 208.152(16),
11 RSMo
12 From Title XIX Department of Social Services Medicaid Assistance
13 Federal Fund (1163)...................................................................................$648,177,591
14 From Federal Reimbursement Allowance Fund (1142) ...................................... 377,298,284
15 Total ....................................................................................................................$1,025,475,875
1 Section 11.825. To the Department of Social Services
2 For the MO HealthNet Division
3 For funding programs to enhance access to care for uninsured children
4 using fee-for-service, prepaid health plans, or other alternative
5 service delivery and reimbursement methodology approved by
6 the director of the Department of Social Services, provided that
7 families of children receiving services under this section shall pay
8 the following premiums to be eligible to receive such services:
9 zero percent on the amount of a family's income which is less
10 than or equal to 150 percent of the federal poverty level; four
11 percent on the amount of a family's income which is less than or
12 equal to 185 percent of the federal poverty level but greater than
13 150 percent of the federal poverty level; eight percent on the
14 amount of a family's income which is less than or equal to 225
15 percent of the federal poverty level but greater than 185 percent
CCS SS SCS HCS HB 2011 71
16 of the federal poverty level; fourteen percent on the amount of a
17 family's income which is less than or equal to 300 percent of the
18 federal poverty level but greater than 225 percent of the federal
19 poverty level not to exceed five percent of total income; families
20 with an annual income of more than 300 percent of the federal
21 poverty level are ineligible for this program, provided ten percent
22 (10%) flexibility is allowed between this section and Sections
23 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765,
24 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840
25 From General Revenue Fund (1101) .....................................................................$118,789,914
26 From Title XXI Children’s Health Insurance Program Federal Fund
27 (1159) ...........................................................................................................439,596,328
28 From Department of Social Services Intergovernmental Transfer Fund
29 (1139) ...............................................................................................................6,089,434
30 From Federal Reimbursement Allowance Fund (1142) ............................................16,430,704
31 For payments to providers of public ground emergency medical
32 transportation, pursuant to Sections 208.1030 and 208.1032
33 RSMo, when providing services to persons paid for under this
34 section
35 From Title XXI Children’s Health Insurance Program Federal Fund
36 (1159) ...............................................................................................................2,459,831
37 From Ground Emergency Medical Transportation Fund (1422) ......................... 831,401
38 Total .......................................................................................................................$584,197,612
1 Section 11.830. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Show-Me Healthy Babies Program authorized by Section
4 208.662, RSMo, provided ten percent (10%) flexibility is allowed
5 between this subsection and Sections 11.700, 11.715, 11.720,
6 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780,
7 11.815, 11.825, 11.830, and 11.840, and further provided three
8 percent (3%) flexibility is allowed from this section to Section
9 11.910
10 From General Revenue Fund (1101) .......................................................................$22,309,571
11 From Title XXI Children’s Health Insurance Program Federal Fund
12 (1159) ...........................................................................................................117,166,237
13 From Department of Social Services Intergovernmental Transfer Fund
14 (1139) ...............................................................................................................1,279,507
CCS SS SCS HCS HB 2011 72
15 From Federal Reimbursement Allowance Fund (1142) ...................................... 7,467,000
16 Total .......................................................................................................................$148,222,315
1 Section 11.835. To the Department of Social Services
2 For the MO HealthNet Division
3 For MO HealthNet services for the Department of Elementary and
4 Secondary Education under the MO HealthNet fee-for-service
5 program
6 From General Revenue Fund (1101) ............................................................................$242,525
7 From Title XIX Department of Social Services Medicaid Assistance
8 Federal Fund (1163)................................................................................. 120,090,322
9 Total .......................................................................................................................$120,332,847
1 Section 11.840. To the Department of Social Services
2 For the MO HealthNet Division
3 For medical benefits for blind individuals ineligible for MO HealthNet
4 coverage who receive the Missouri Blind Pension cash grant,
5 provided that individuals under this section shall pay the
6 following premiums to be eligible to receive such services: zero
7 percent on the amount of a family's income which is less than 150
8 percent of the federal poverty level; four percent on the amount
9 of a family's income which is less than 185 percent of the federal
10 poverty level but greater than or equal to 150 percent of the
11 federal poverty level; eight percent of the amount on a family's
12 income which is less than 225 percent of the federal poverty level
13 but greater than or equal to 185 percent of the federal poverty
14 level; fourteen percent on the amount of a family's income which
15 is less than 300 percent of the federal poverty level but greater
16 than or equal to 225 percent of the federal poverty level not to
17 exceed five percent of total income; families with an annual
18 income equal to or greater than 300 percent of the federal poverty
19 level are ineligible for this program, and further provided ten
20 percent (10%) flexibility is allowed between this subsection and
21 Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755,
22 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and
23 11.840, and further provided three percent (3%) flexibility is
24 allowed from this section to Section 11.910
25 From General Revenue Fund (1101) .......................................................................$24,444,104
CCS SS SCS HCS HB 2011 73
1 Section 11.845. To the Department of Social Services
2 For the MO HealthNet Division
3 For program distributions related to Section 36(c) of Article IV of the
4 Missouri Constitution
5 From General Revenue Fund (1101) (including $337,760 one-time) ...................$395,298,492
6 From Title XIX - Adult Expansion Federal Fund (1358) (including
7 $3,039,841 one-time) ................................................................................4,249,826,500
8 From Pharmacy Reimbursement Allowance Fund (1144) ..........................................2,146,956
9 From Nursing Facility Reimbursement Allowance Fund (1196) ................................2,146,151
10 From Ambulance Service Reimbursement Allowance Fund (1958) ..............................565,267
11 From Federal Reimbursement Allowance Fund (1142) ............................................62,936,427
12 From Department of Social Services Intergovernmental Transfer Fund
13 (1139) ...............................................................................................................8,801,437
14 For supplemental payments to Tier 1 Safety Net Hospitals, or to any
15 affiliated physician group that provides physicians for any Tier 1
16 Safety Net Hospital, for physician and other healthcare
17 professional services as approved by the Centers for Medicare
18 and Medicaid Services
19 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................43,697,736
20 From Department of Social Services Intergovernmental Transfer Fund
21 (1139) ...............................................................................................................4,855,304
22 For payments to the Department of Mental Health for Community
23 Psychiatric Rehabilitation (CPR) services, Comprehensive
24 Substance Abuse Treatment and Rehabilitation (CSTAR)
25 services, Targeted Case Management (TCM) for behavioral
26 health services, and Certified Community Behavioral Health
27 Organizations (CCBHO) for MO HealthNet participants and the
28 uninsured
29 From Title XIX - Adult Expansion Federal Fund (1358) ........................................362,039,310
30 From Department of Social Services Intergovernmental Transfer Fund
31 (1139) .............................................................................................................40,226,590
32 For payments to providers of public ground emergency medical
33 transportation, pursuant to Sections 208.1030 and 208.1032
34 RSMo, when providing services to persons paid for under this
35 section
36 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................20,956,916
CCS SS SCS HCS HB 2011 74
37 From Ground Emergency Medical Transportation Fund (1422) ......................... 2,328,546
38 Total ....................................................................................................................$5,195,825,632
1 Section 11.850. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund for the purpose of providing the state
4 match for Medicaid payments
5 From Department of Social Services Intergovernmental Transfer Fund
6 (1139) .........................................................................................................$122,616,197
1 Section 11.855. To the Department of Social Services
2 For the MO HealthNet Division
3 For payments to the Department of Mental Health for Community
4 Psychiatric Rehabilitation (CPR) services, Comprehensive
5 Substance Abuse Treatment and Rehabilitation (CSTAR)
6 services, Targeted Case Management (TCM) for behavioral
7 health services, and Certified Community Behavioral Health
8 Organizations (CCBHO) for MO HealthNet participants and the
9 uninsured
10 From Title XIX Department of Social Services Medicaid Assistance
11 Federal Fund (1163)...................................................................................$628,579,055
12 From Department of Social Services Intergovernmental Transfer Fund
13 (1139) ....................................................................................................... 305,093,236
14 Total .......................................................................................................................$933,672,291
1 Section 11.860. To the Department of Social Services
2 For the MO HealthNet Division
3 For family planning and family planning-related services, pregnancy
4 testing, sexually transmitted disease testing and treatment,
5 including pap tests and pelvic exams, and follow-up services,
6 provided that none of the funds appropriated herein may be paid,
7 granted to, or expended to directly or indirectly fund procedures
8 or administrative functions of any clinic, physician's office, or
9 any other place or facility in which abortions are performed or
10 induced other than a hospital, or any affiliate of any such clinic,
11 physician's office, or place or facility in which abortions are
12 performed or induced other than a hospital, or for performing,
13 inducing, or assisting in the performance or inducing of an
14 abortion which is not necessary to save the life of the mother, for
CCS SS SCS HCS HB 2011 75
15 encouraging a patient to have an abortion or referring a patient
16 for an abortion which is not necessary to save the life of the
17 mother, or developing or dispensing drugs, chemicals, or devices
18 intended to be used to induce an abortion which is not necessary
19 to save the life of the mother. Such services shall be available to
20 uninsured women who are at least eighteen (18) to fifty-five (55)
21 years of age with a family Modified Adjusted Gross Income for
22 the household size that does not exceed two hundred and one
23 percent (201%) of the Federal Poverty Level (FPL) and who is a
24 legal resident of the state
25 From General Revenue Fund (1101) (including $1,208,096 one-time) ....................$1,871,711
26 From Title XIX Department of Social Services Medicaid Assistance
27 Federal Fund (1163)................................................................................. 1,208,096
28 Total ...........................................................................................................................$3,079,807
1 Section 11.865. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Pharmacy Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .......................................................................$38,737,111
1 Section 11.870. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Pharmacy Reimbursement Allowance Fund (1144) ......................................$38,737,111
1 Section 11.875. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Ambulance Service Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .......................................................................$20,837,332
1 Section 11.880. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Ambulance Service Reimbursement Allowance Fund (1958) .......................$20,837,332
1 Section 11.885. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the Federal
3 Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .....................................................................$718,701,378
CCS SS SCS HCS HB 2011 76
1 Section 11.890. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Federal Reimbursement Allowance Fund (1142) ........................................$718,701,378
1 Section 11.895. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Nursing Facility Reimbursement Allowance Fund
4 From General Revenue Fund (1101) .....................................................................$210,950,510
1 Section 11.900. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund
4 From Nursing Facility Reimbursement Allowance Fund (1196) ..........................$210,950,510
1 Section 11.905. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury to the
3 Nursing Facility Quality of Care Fund in accordance with Section
4 198.418.1, RSMo, to be used by the Department of Health and
5 Senior Services for conducting inspections and surveys and
6 providing training and technical assistance to facilities licensed
7 under the provisions of Chapter 198
8 From Nursing Facility Reimbursement Allowance Fund (1196) ..............................$1,500,000
1 Section 11.910. To the Department of Social Services
2 Funds are to be transferred out of the State Treasury, for the
3 payment of claims, premiums, and expenses as provided by
4 Section 105.711 through 105.726, RSMo, to the State Legal
5 Expense Fund
6 From General Revenue Fund (1101) .......................................................................................$1
PART 2
1 Section 11.2005. To the Department of Social Services
2 In reference to Section 11.080 of Part 1 of this act:
3 No funds shall be expended in furtherance of reimbursement rates
4 greater than $17 per day.
CCS SS SCS HCS HB 2011 77
1 Section 11.2010. To the Department of Social Services
2 In reference to Section 11.160 of Part 1 of this act:
3 No funds shall be expended in furtherance of contract rates
4 greater than the rate in effect on January 1, 2025.
1 Section 11.2015. To the Department of Social Services
2 In reference to Section 11.215 of Part 1 of this act:
3 No funds shall be expended in furtherance of Blind Pension rates
4 greater than $949 per month and $794 per month for
5 Supplemental Aid to the Blind.
1 Section 11.2017. To the Department of Social Services
2 In reference to Section 11.421 of Part 1 of this act:
3 No funds shall be expended in furtherance of outdoor learning
4 foster care program provider rates greater than $258 per day.
1 Section 11.2020. To the Department of Social Services
2 In reference to Sections 11.425, 11.435, 11.445, 11.450, 11.455,
3 11.460, 11.480, 11.485, 11.495, 11.545, 11.765, 11.775, 11.780
4 and 11.815 of Part 1 of this act:
5 No funds shall be expended in furtherance of provider rates
6 greater than the rate in effect on January 1, 2025.
1 Section 11.2025. To the Department of Social Services
2 In reference to Sections 11.450, 11.755 and 11.775 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of Therapeutic Foster
5 Care provider rates greater than: $173.08 per day for Level 1,
6 $262.02 per day for Level II.
1 Section 11.2030. To the Department of Social Services
2 In reference to Sections 11.455, 11.755 and 11.775 of Part 1 of
3 this act:
4 No funds shall be expended in furtherance of QRTP/non-IMD
5 and QRTP/IMD rates greater than: $194.47 per day for Level II,
6 $239.16 per day for Level III, $253.80 per day for Level IV.
1 Section 11.2035. To the Department of Social Services
CCS SS SCS HCS HB 2011 78
2 In reference to Sections 11.455, 11.460, 11.755 and 11.775 of
3 Part 1 of this act:
4 Expenses for children placed in a residential treatment facility
5 shall be covered for placements ordered by the court and not
6 recommended by an independent assessor.
1 Section 11.2040. To the Department of Social Services
2 In reference to Sections 11.455, 11.460, 11.755, 11.775 and
3 11.780 of Part 1 of this act:
4 Provided that funding may be expended for the purposes of
5 transitioning children in the Children’s Division custody from a
6 current stay or preventing a stay in: 1) an out of state placement,
7 2) a hospital boarding arrangement, or 3) hotel boarding
8 arrangement.
1 Section 11.2045. To the Department of Social Services
2 In reference to Sections 11.440 and 11.780 of Part 1 of this act:
3 No funds shall be expended in furtherance of Psychiatric
4 Residential Treatment Facility (PRTF) provider rates greater than
5 $471.46 per day.
1 Section 11.2050. To the Department of Social Services
2 In reference to Section 11.715 of Part 1 of this act:
3 No funds shall be expended in furtherance of physician provider
4 rates greater than the rate in effect on January 1, 2024, except
5 rates for Certified Community Behavioral Health Clinics, for
6 which no funds shall be expended in furtherance of actuarial rates
7 greater than those approved by the Department of Mental Health,
8 and further excepting rates for autism services, for which no
9 funds shall be expended in furtherance of autism rates paid by the
10 Department of Mental Health on January 1, 2025, and further
11 excepting independent lab rates, for which no funds shall be
12 expended in furtherance of 90% of the calendar year 2023
13 Medicare allowed rate, and further excepting ophthalmologist
14 rates, for which no funds shall be expended in furtherance of 85%
15 of the calendar year 2023 Medicare allowed rate, and further
16 excepting anesthesia rates for dental services, for which no funds
17 shall be expended greater than 63% of the Medicare conversion
CCS SS SCS HCS HB 2011 79
18 factor for anesthesia services for dental procedures performed in
19 medical surgical centers.
1 Section 11.2055. To the Department of Social Services
2 In reference to Section 11.725 of Part 1 of this act:
3 No funds shall be expended in furtherance of dental provider
4 rates greater than the rate in effect on January 1, 2025, except for
5 dental anesthesia codes, for which no funds shall be expended in
6 furtherance of 80% of the 50th percentile of the comparable
7 Usual Customary and Reasonable (UCR) rates on January 1,
8 2024, and further excepting dentist extraction rates, for which no
9 funds shall be expended in furtherance of dentist extraction codes
10 to 38.5% of the 50th percentile of the comparable UCR rates on
11 January 1, 2024.
1 Section 11.2060. To the Department of Social Services
2 In reference to Sections 11.735 and 11.740 of Part 1 of this act:
3 No funds shall be expended in furtherance of nursing facility
4 provider rates greater than the rebased rate, in the aggregate,
5 determined by the FY2022 nursing facility cost reports, excepting
6 case mix index adjustments and value based payment
7 adjustments. No funds shall be expended in furtherance of home
8 health provider rates greater than $12.42 per visit of the rate in
9 effect on January 1, 2024. No funds shall be expended for
10 Certified Nursing Assistant (CNA) training reimbursement
11 greater than $1,500 per enrollee.
1 Section 11.2065. To the Department of Social Services
2 In reference to Section 11.755 of Part 1 of this act:
3 No funds shall be expended in furtherance of rehabilitation and
4 specialty provider rates greater than the rate in effect on January
5 1, 2025, except providers of non-emergency medical
6 transportation for MO HealthNet and Department of Mental
7 Health for which no funds shall be expended in furtherance of
8 provider rates greater than the lower bound actuarial soundness
9 rate, and further excepting providers of hospice care, for which
10 no funds shall be expended in furtherance of provider rates
11 greater than 2.8% for routine home care, continuous care,
12 inpatient respite care, and general inpatient care greater than the
CCS SS SCS HCS HB 2011 80
13 blended rate in effect on January 1, 2025, and for which no funds
14 shall be expended in furtherance of rates no greater than 95% of
15 the nursing facility per diem rate for room and board for services
16 provided in a nursing facility, and further excepting air
17 ambulance provider rates for whom no funds shall be expended
18 in furtherance of provider rates greater than 90% of the Medicare
19 calendar year 2024 rate from the rate in effect on December 30,
20 2023.
1 Section 11.2070. To the Department of Social Services
2 In reference to Sections 11.770 and 11.775 of Part 1 of this act:
3 No funds shall be expended in furtherance of managed care
4 contract rates greater than the lower bound actuarial soundness
5 rate.
1 Section 11.2075. To the Department of Social Services
2 In reference to Sections 11.780 and 11.820 in Part 1 of this act:
3 Provided that in-patient Medicaid psychiatric free-standing
4 hospitals have a minimum rate equivalent to the state fiscal year
5 2025 weighted average daily rate of $1,194.22.
1 Section 11.2080. To the Department of Social Services
2 In reference to Sections 11.780 and 11.820 of Part 1 of this act:
3 No funds shall be expended for out-of-state payments.
1 Section 11.2085. To the Department of Social Services
2 In reference to Sections 11.780 and 11.820 of Part 1 of this act:
3 No funds shall be expended in furtherance of the outpatient
4 hospital services fee schedule greater than 90% of the calendar
5 year 2026 Medicare rate.
1 Section 11.2090. To the Department of Social Services
2 In reference to Section 11.815 of Part 1 of this act:
3 No funds shall be expended in furtherance of a PMPM rate
4 greater than $80.19 for primary care health homes.
1 Section 11.2095. To the Department of Social Services
2 In reference to all sections except for Section 11.845 in Part 1 of
3 this act:
CCS SS SCS HCS HB 2011 81
4 No funds shall be expended for program distributions related to
5 Section 36(c) of Article IV of the Missouri Constitution.
1 Section 11.2100. To the Department of Social Services
2 In reference to section 11.720 of Part 1 of this act:
3 No funds shall be expended in furtherance of capitation rates
4 greater than the Amount that Would have been Otherwise Paid
5 (AWOP) under Fee-for-Service.
1 Section 11.2105. To the Department of Social Services
2 In reference to Section 11.700 of Part 1 of this act:
3 The Department shall analyze and report the foregone
4 supplemental rebates associated with drugs purchased under 42
5 U.S.C. Section 256b for participants in the MO HealthNet
6 Program to the House Budget and Senate Appropriation
7 Committee Chairs and Ranking Members. The report shall be
8 submitted quarterly and include aggregate foregone supplemental
9 rebates associated with drugs purchased under 42 U.S.C. Section
10 256b for participants in the MO HealthNet Program to the extent
11 permissible by state and federal law. The report shall be inclusive
12 of the data available at the time the report is generated and contain
13 up to four (4) prior quarters. The first report shall be due
14 November 1, 2026 with quarterly updates thereafter.
PART 3
1 Section 11.3002. To the Department of Social Services
2 In reference to Section 11.052 of Part 1 and Part 2 of this act:
3 The Department shall provide quarterly reports related to the
4 transition of operations and technology and procurement
5 compliance and efficiencies to the Office of the Governor and the
6 House Budget and Senate Appropriation Committee Chairs.
1 Section 11.3005. To the Department of Social Services
2 In reference to Section 11.435 of Part 1 and Part 2 of this act:
3 Special expenses for clothing allowances shall be paid at least
4 quarterly.
1 Section 11.3010. To the Department of Social Services
CCS SS SCS HCS HB 2011 82
2 In reference to Sections 11.620 and 11.630 of Part 1 and Part 2
3 of this act:
4 The Department shall provide the House Appropriations and
5 Senate Appropriations Offices of the General Assembly access to
6 department-wide data warehouses and analytics platforms not
7 otherwise available to the General Assembly and necessary to
8 make data-driven decisions. This section shall not be construed
9 to compel the release of protected health information or
10 individually identifiable data.
1 Section 11.3015. To the Department of Social Services
2 In reference to Sections 11.770 and 11.775 of Part 1 and Part 2
3 of this act:
4 Contract changes shall be provided in writing, prior to
5 submission to the Centers for Medicare and Medicaid Services,
6 to the House Budget and Senate Appropriation Committee Chairs
7 and Ranking Members.
1 Section 11.3020. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification, prior to
4 submission to the federal government, of state plans and state
5 plan amendments, Advanced Planning Documents,
6 Implementation Advanced Planning Documents, grant
7 applications, and Medicaid waivers to the House Budget and
8 Senate Appropriation Committee Chairs and Ranking Members.
9 The Department shall include in the notification the actual
10 documents submitted to the federal government, as well as the
11 federal government’s responses when received.
1 Section 11.3025. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 In reference to the Alternative Care Trust Fund (1905), the
4 Department shall provide a quarterly accounting of the money to
5 the parents of the child for whose benefit the funds have been
6 received by the Department; to the guardian ad litem; and to the
7 child, if the child is 15 years or older.
1 Section 11.3030. To the Department of Social Services
CCS SS SCS HCS HB 2011 83
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written documentation of rate
4 setting, rate studies, time surveys, time studies, and random
5 moment time studies, and the federal and state share fiscal impact
6 estimates, including Title IV-E Foster Care eligibility and
7 participation rates to the House Budget and Senate Appropriation
8 Committee Chairs and Ranking Members.
1 Section 11.3035. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification and
4 correspondence from the federal government of non-compliance
5 with federal programs or grants to the House Budget and Senate
6 Appropriation Committee Chairs and Ranking Members.
1 Section 11.3040. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide copies of financial reports and
4 public assistance cost allocation plans submitted to the federal
5 government and supporting cash on hand reports, by grant, to the
6 House Budget and Senate Appropriation Committee Chairs and
7 Ranking Members.
1 Section 11.3045. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide monthly expenditures and
4 projections for Child Welfare programs and Medicaid programs
5 for the current state fiscal year and next state fiscal year to the
6 House Budget and Senate Appropriation Committee Chairs and
7 Ranking Members on a monthly basis.
1 Section 11.3050. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 The Department shall provide written notification of spend plans
4 and spend plan amendments to the House Budget and Senate
5 Appropriation Committee Chairs and Ranking Members prior to
6 submission to the federal government and prior to expenditure of
7 such funds.
CCS SS SCS HCS HB 2011 84
1 Section 11.3052. To the Department of Social Services
2 In reference to all sections in Part 1 and Part 2 of this act:
3 By or before September 1, 2026 the Office of State Courts
4 Administrator and the Department of Social Services shall
5 execute a memorandum of understanding that provides for access
6 to court orders necessary for the Department of Social Services
7 to ensure timely delivery of case information to relevant agencies
8 and to maximize federal funding for children in the state foster
9 care program, including funds available through Part E of Title
10 IV of the Social Security Act. The Department of Social Services
11 shall designate individuals, by classification, to have such access.
Bill Totals
General Revenue Fund (2,841.43 F.T.E.) ...........................................................$3,336,243,338
Federal Funds (3,778.34 F.T.E.) .........................................................................12,938,058,610
Other Funds (366.72 F.T.E.) ............................................................................... 1,887,725,747
Total (6,986.49 F.T.E.) .....................................................................................$18,162,027,695
Every fact on this page links to its source, starting with the official bill record.