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SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 2014
2014S.06T 103RD GENERAL ASSEMBLY
2026
AN ACT
To appropriate money for supplemental purposes for the expenses, grants, refunds, and
distributions of the several departments and offices of state government, and the several
divisions and programs thereof, and to transfer money among certain funds, to be
expended only as provided in Article IV, Section 28 of the Constitution of Missouri for
the fiscal period ending June 30, 2026.
Be it enacted by the General Assembly of the state of Missouri, as follows:
1 There is appropriated out of the State Treasury, to be expended only as provided in
2 Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each
3 department, division, agency, and program described herein for the item or items stated, and
4 for no other purpose whatsoever, chargeable to the fund designated for the period ending June
5 30, 2026, as follows:
PART 1
1 Section 14.000. Each appropriation in this act shall consist of the item
2 or items in each section of Part 1 of this act, for the amount and
3 purpose and from the fund designated in each section of Part 1,
4 as well as all additional clarifications of purpose in Part 2 of this
5 act that make reference by section to said item or items in Part 1.
6 Any clarification of purpose in Part 2 shall state the section or
7 sections in Part 1 to which it attaches and shall, together with the
8 language of said section(s) in Part 1, form the complete statement
9 of purpose of the appropriation. As such, the provisions of Part
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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 Elementary
15 and Secondary Education, Department of Mental Health, the
16 Department of Health and Senior Services, and the Department
17 of Social Services in implementing the appropriations found in
18 Part 1 and Part 2 of this act.
1 Section 14.005. To the Department of Elementary and Secondary
2 Education
3 For State Board of Education operated school programs
4 Expense and Equipment
5 From Elementary and Secondary Education - Federal Fund (1105) .........................$3,000,000
1 Section 14.010. To the Department of Elementary and Secondary
2 Education
3 For the purpose of supporting safe schools programs pursuant to Section
4 160.664, RSMo
5 Expense and Equipment
6 From General Revenue Fund (1101) ..............................................................................$97,524
1 Section 14.015. To the Department of Elementary and Secondary
2 Education
3 For the Office of Quality Schools
4 For a program identifying where students may lack adequate access to
5 resources and support
6 Program Distribution
7 From State Institutions Gift Trust Fund (1925) ............................................................$320,000
1 Section 14.020. To the Department of Elementary and Secondary
2 Education
3 For the Office of College and Career Readiness
4 For distributions to providers of career and technical education programs
5 From Elementary and Secondary Education - Federal Fund (1105) .........................$3,600,000
1 Section 14.025. To the Department of Elementary and Secondary
2 Education
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3 For the Office of College and Career Readiness
4 For the Comprehensive Literacy Development Program
5 Program Distribution
6 From Elementary and Secondary Education - Federal Fund (1105) .........................$3,200,000
1 Section 14.030. To the Department of Elementary and Secondary
2 Education
3 For the Office of Quality Schools
4 For facilitating the identification, enrollment, attendance, and success in
5 school of homeless children and youths under Title IX, Part A of
6 the Elementary and Secondary Education Act of 1965 as
7 amended by the Every Student Succeeds Act of 2015
8 From Elementary and Secondary Education - Federal Fund (1105) ............................$951,299
1 Section 14.035. To the Department of Elementary and Secondary
2 Education
3 For the Office of Quality Schools
4 Funds are to be transferred out of the State Treasury to the School
5 Turnaround Fund
6 From General Revenue Fund (1101) ..............................................................................$73,450
1 Section 14.040. To the Department of Elementary and Secondary
2 Education
3 For the Office of Quality Schools
4 For the School Turnaround Program
5 Program Distribution
6 From School Turnaround Fund (1439) ...........................................................................$73,450
1 Section 14.045. To the Department of Elementary and Secondary
2 Education
3 For the Office of Adult Learning and Rehabilitation Services
4 For the Vocational Rehabilitation Program
5 From General Revenue Fund (1101) .........................................................................$2,222,747
6 From Vocational Rehabilitation Fund (1104)...................................................... 8,212,685
7 Total .........................................................................................................................$10,435,432
1 Section 14.050. To the Department of Elementary and Secondary
2 Education
3 For the Office of Special Education
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4 For the Special Education Program
5 From Elementary and Secondary Education - Federal Fund (1105) .......................$20,000,000
1 Section 14.055. To the Department of Elementary and Secondary
2 Education
3 For the Office of Special Education
4 For special education excess costs
5 Program Distribution
6 From General Revenue Fund (1101) .......................................................................$14,705,004
1 Section 14.060. To the Department of Elementary and Secondary
2 Education
3 For the Office of Childhood
4 For the Early Childhood Special Education Program
5 From General Revenue Fund (1101) .......................................................................$35,100,217
1 Section 14.066. To the Department of Higher Education and Workforce
2 Development
3 For the Division of Workforce Development
4 For job training and related activities
5 Program Distribution
6 From Job Development and Training Fund (1155) ...................................................$4,300,000
1 Section 14.070. To the Department of Revenue
2 For collecting highway related fees and taxes
3 Expense and Equipment
4 From State Highways and Transportation Department Fund (1644)............................$943,500
1 Section 14.075. To the Department of Revenue
2 For refunds for overpayment or erroneous payment of any tax or any
3 payment credited to the General Revenue Fund
4 From General Revenue Fund (1101) .....................................................................$225,600,000
1 Section 14.080. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund in the amount of sixty-six hundredths
4 percent of the funds received
5 From Parks Sales Tax Fund (1613) ..................................................................................$9,076
1 Section 14.085. To the Department of Revenue
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2 Funds are to be transferred out of the State Treasury to the
3 General Revenue Fund in the amount of sixty-six hundredths
4 percent of the funds received
5 From Soil and Water Sales Tax Fund (1614) ...................................................................$9,076
1 Section 14.090. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury, chargeable
3 to the General Revenue Fund, to the State Highways and
4 Transportation Department Fund, for reimbursement of
5 collection expenditures in excess of the three percent (3%) limit
6 established by Article IV, Sections 29, 30(a), 30(b), and 30(c) of
7 the Constitution of Missouri
8 From General Revenue Fund (1101) .........................................................................$5,058,741
1 Section 14.095. To the Department of Revenue
2 For the State Lottery Commission
3 For payments to vendors for costs of the design, manufacture, licensing,
4 leasing, processing, and delivery of games administered by the
5 State Lottery Commission, excluding any purposes for which
6 appropriations have been made in House Bill 4, Section 4.180,
7 Lines 8-11 and Lines 16-23, an Act of the 103rd General
8 Assembly, First Regular Session
9 From Lottery Enterprise Fund (1657)........................................................................$1,085,495
1 Section 14.100. To the Department of Revenue
2 Funds are to be transferred out of the State Treasury to the Lottery
3 Enterprise Fund
4 From State Lottery Fund (1682) ................................................................................$1,085,495
1 Section 14.105. To the Department of Transportation
2 For the Highways and Transportation Commission and Highway
3 Program Administration, provided twenty percent (20%)
4 flexibility is allowed between Sections 14.105, 14.110, and
5 14.115
6 Personal Service.............................................................................................$5,587,893
7 Expense and Equipment........................................................................... 1,485,389
8 From State Road Fund (1320) (Not to exceed 79.23 F.T.E.).....................................$7,073,282
1 Section 14.110. To the Department of Transportation
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2 For the Construction Program
3 To pay the cost of reimbursing counties and other political
4 subdivisions for the acquisition of roads and bridges taken over
5 by the state as permanent parts of the state highway system, and
6 for the costs of locating, relocating, establishing, acquiring,
7 constructing, reconstructing, widening, and improving those
8 highways, bridges, tunnels, parkways, travelways, tourways, and
9 coordinated facilities authorized under Article IV, Section30(b)
10 of the Constitution of Missouri, and for acquiring materials,
11 equipment, and buildings necessary for such purposes and for
12 other purposes and contingencies relating to the location and
13 construction of highways and bridges; and to expend funds from
14 the United States Government for like purposes, provided twenty
15 percent (20%) flexibility is allowed between Sections 14.105,
16 14.110, and 14.115
17 Personal Service...........................................................................................$20,723,471
18 Expense and Equipment.................................................................................10,361,735
19 Construction ............................................................................................. 487,001,563
20 From State Road Fund (1320) (Not to exceed 283.43 F.T.E.)...............................$518,086,769
1 Section 14.115. To the Department of Transportation
2 For the Maintenance Program
3 For preserving and maintaining the state system of roads and bridges and
4 coordinated facilities authorized under Article IV, Section 30(b)
5 of the Constitution of Missouri and for acquiring materials,
6 equipment, and buildings necessary for such purposes and for
7 other purposes and contingencies related to the preservation,
8 maintenance, and safety of highways and bridges, provided ten
9 percent (10%) flexibility is allowed between personal service and
10 expense and equipment, and provided twenty percent (20%)
11 flexibility is allowed between Sections 14.105, 14.110, and
12 14.115
13 Personal Service...........................................................................................$43,489,318
14 Expense and Equipment........................................................................... 74,049,379
15 From State Road Fund (1320) (Not to exceed 780.18 F.T.E.)...............................$117,538,697
1 Section 14.120. To the Office of Administration
2 For the America 250 Missouri Celebration
3 Expense and Equipment
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4 From State Institutions Gift Trust Fund (1925) ..............................................................$25,000
1 Section 14.125. To the Office of Administration
2 For the Information Technology Services Division
3 For the Department of Public Safety
4 Expense and Equipment
5 From Missouri Veterans’ Homes Fund (1460) ..........................................................$2,029,630
1 Section 14.130. To the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 Asset Management
4 For any and all expenditures necessary for funding the operations of the
5 Board of Public Buildings, state-owned and leased office
6 buildings, institutional facilities, laboratories, and support
7 facilities
8 Expense and Equipment
9 From State Facility Maintenance and Operation Fund (1501) ..................................$4,766,274
1 Section 14.131. To the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 Asset Management
4 For the Fletcher Daniel state office building leased parking spaces
5 Expense and Equipment
6 From State Facility Maintenance and Operation Fund (1501) .......................................$36,000
1 Section 14.135. To the Office of Administration
2 For the Division of Accounting
3 For debt service and all related expenses associated with the Missouri
4 State Fair project bonds issued in one or more series by the
5 Missouri Development Finance Board, with a term for each series
6 not to exceed twenty years and annual debt service for all series
7 payable in any year not to exceed $4,200,000, to fund not to
8 exceed $55,000,000 of the costs to plan, design, construct,
9 renovate, acquire land, upgrade a livestock support barn and a
10 stalling barn at the Missouri State Fair pursuant to a financing
11 agreement between the Missouri Development Finance Board
12 and the Office of Administration, provided one-hundred percent
13 (100%) flexibility is allowed between the General Revenue Fund
14 and other funds in this section
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15 From General Revenue Fund (1101) .........................................................................$4,200,000
16 From State Fair Fee Fund (1410)......................................................................... 1
17 Total ...........................................................................................................................$4,200,001
1 Section 14.140. To the Office of Administration
2 For transferring funds for state employees and participating political
3 subdivisions to the OASDHI Contributions Fund
4 From Other Funds (Various)......................................................................................$1,147,204
1 Section 14.145. To the Office of Administration
2 For transferring funds for the state's contribution to the Missouri State
3 Employees' Retirement System to the State Retirement
4 Contributions Fund
5 From Other Funds (Various)......................................................................................$2,851,170
1 Section 14.150. To the Office of Administration
2 For transferring funds for the state's contribution to the Missouri
3 Consolidated Health Care Plan to the Missouri Consolidated
4 Health Care Plan Benefit Fund
5 From Other Funds (Various)......................................................................................$1,330,244
6 For transferring funds for the state's contribution to the Missouri
7 Consolidated Health Care Plan to the Missouri Consolidated
8 Health Care Plan Benefit Fund
9 From General Revenue Fund (1101) ................................................................... 10,500,000
10 Total .........................................................................................................................$11,830,244
1 Section 14.155. To the Office of Administration
2 For the Division of General Services
3 For the provision of workers' compensation benefits to state employees
4 through either a self-insurance program administered by the
5 Office of Administration and/or by contractual agreement with a
6 private carrier, and for administrative and legal expenses
7 authorized, in part, by Section 105.810, RSMo
8 From General Revenue Fund (1101) .........................................................................$3,400,000
1 Section 14.160. To the Office of Administration
2 Funds are to be transferred out of the State Treasury, chargeable
3 to various funds, amounts paid from the General Revenue Fund
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4 for workers' compensation benefits provided to employees paid
5 from these other funds, to the General Revenue Fund
6 From Other Funds (Various).........................................................................................$400,000
1 Section 14.165. To the Department of Agriculture
2 For the Division of Animal Health
3 Expense and Equipment
4 From Animal Health Laboratory Fee Fund (1292).......................................................$400,000
1 Section 14.167. To the Department of Economic Development
2 For the Business and Community Solutions Division
3 For a grant to a public university with an established partnership with a
4 not-for-profit organization that has received a similar state
5 funded grant for establishing Missouri in re-shoring active
6 pharmaceutical ingredient (API) manufacturing
7 Expense and Equipment
8 From General Revenue Fund (1101) .........................................................................$1,927,554
1 Section 14.170. To the Department of Public Safety
2 For the Office of the Director
3 Funds are to be transferred out of the State Treasury to the
4 General Revenue Fund
5 From Economic Distress Zone Fund (1816)...................................................................$60,000
1 Section 14.175. To the Department of Public Safety
2 For the Office of the Director
3 For the FIFA World Cup Grant Program
4 From Department of Public Safety Federal Fund (1152) ........................................$59,522,190
1 Section 14.180. To the Department of Public Safety
2 For the Office of the Director
3 For the Counter-Unmanned Aircraft Systems Grant Program
4 Personal Service..................................................................................................$50,000
5 Expense and Equipment........................................................................... 14,190,568
6 From Department of Public Safety Federal Fund (1152) ........................................$14,240,568
1 Section 14.181. To the Department of Public Safety
2 For the Office of the Director
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3 For statewide fentanyl and additional dangerous narcotics testing of
4 wastewater for law enforcement activities
5 From General Revenue Fund (1101) ............................................................................$250,000
1 Section 14.185. To the Department of Public Safety
2 For the Office of the Director
3 For reimbursing SAFE-Care providers for performing forensic medical
4 exams on children suspected of having been physically abused
5 From General Revenue Fund (1101) ............................................................................$180,000
1 Section 14.190. To the Department of Public Safety
2 For the State Highway Patrol
3 For Administration
4 Expense and Equipment
5 From State Highways and Transportation Department Fund (1644)............................$200,000
1 Section 14.195. To the Department of Public Safety
2 For the State Highway Patrol
3 For fringe benefits, including retirement contributions for members of
4 the Missouri Department of Transportation and Highway Patrol
5 Employees' Retirement System, and insurance premiums
6 Expense and Equipment
7 From General Revenue Fund (1101) ..............................................................................$66,992
8 From Department of Public Safety Federal Fund (1152) ...................................................6,524
9 From Gaming Commission Fund (1286) .................................................................................70
10 From Highway Patrol Inspection Fund (1297) ......................................................................362
11 From Water Patrol Division Fund (1400) ..............................................................................596
12 From Veterans Health and Community Reinvestment Fund (1608) .....................................456
13 From State Highways and Transportation Department Fund (1644)..............................197,698
14 From Criminal Record System Fund (1671) ....................................................................16,747
15 From Highway Patrol Academy Fund (1674) .......................................................................579
16 From Highway Patrol Traffic Records Fund (1758)..............................................................122
17 From DNA Profiling Analysis Fund (1772) ........................................................ 215
18 Total ..............................................................................................................................$290,361
1 Section 14.200. To the Department of Public Safety
2 Funds are to be transferred out of the State Treasury to the
3 Missouri Veterans’ Homes Fund
4 From Veterans Reinvestment Fund (1611)................................................................$2,743,076
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1 Section 14.205. To the Department of Public Safety
2 For the State Emergency Management Agency
3 For the Missouri Disaster Medical Assistance Team
4 Personal Service................................................................................................$175,000
5 Expense and Equipment........................................................................... 215,000
6 From General Revenue Fund (1101) ............................................................................$390,000
1 Section 14.210. To the Department of Public Safety
2 For the State Emergency Management Agency
3 For all allotments, grants, and contributions from federal and other
4 sources that are deposited in the State Treasury for the use of the
5 State Emergency Management Agency for alleviating distress
6 from disasters
7 From Missouri Disaster Fund (1663).....................................................................$800,000,000
8 For matching funds for federal grants and for emergency assistance
9 expenses of the State Emergency Management Agency as
10 provided in Section 44.032, RSMo
11 From General Revenue Fund (1101) .........................................................................30,000,000
12 Funds are to be transferred out of the State Treasury to the
13 Disaster Relief Fund
14 From General Revenue Fund (1101) .........................................................................86,000,000
15 For expenses of any City not within a county responding to a disaster for
16 which a presidential declaration has been requested by the
17 Governor, to provide relief associated with such disaster
18 From Disaster Relief Fund (1220) ....................................................................... 86,000,000
19 Total ....................................................................................................................$1,002,000,000
1 Section 14.215. To the Department of Corrections
2 For the Division of Human Services
3 For the operation of institutional facilities, utilities, systems furniture,
4 and structural modifications
5 Expense and Equipment
6 From General Revenue Fund (1101) ............................................................................$194,800
7 From Working Capital Revolving Fund (1510)................................................... 484,226
8 Total ..............................................................................................................................$679,026
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1 Section 14.220. To the Department of Corrections
2 For the Division of Human Services
3 For the purchase, transportation, and storage of food and food service
4 items, and operational expenses of food preparation facilities at
5 all correctional institutions
6 From General Revenue Fund (1101) .........................................................................$5,821,350
1 Section 14.225. To the Department of Corrections
2 For the Division of Offender Rehabilitative Services
3 For contractual services for offender physical and mental health care
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$7,157,630
1 Section 14.230. To the Department of Corrections
2 For the Division of Probation and Parole
3 For community supervision centers
4 Personal Service
5 From General Revenue Fund (1101) (Not to exceed 10.00 F.T.E.) ........................................$0
1 Section 14.235. To the Department of Mental Health
2 For the Office of the Director
3 For paying overtime to state employees. Nonexempt state employees
4 identified by Section 105.935, RSMo, will be paid first with any
5 remaining funds being used to pay overtime to any other state
6 employees
7 Personal Service
8 From General Revenue Fund (1101) .......................................................................$27,864,720
1 Section 14.240. To the Department of Mental Health
2 For the Office of the Director
3 For grant funding for the Crisis Counseling Program to provide services
4 related to presidential disaster declarations
5 Personal Service................................................................................................$151,309
6 Expense and Equipment........................................................................... 2,893,805
7 From Department of Mental Health Federal Fund (1148) (Not to exceed
8 1.60 F.T.E.) ....................................................................................................$3,045,114
1 Section 14.242. To the Department of Mental Health
2 For the Division of Behavioral Health
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3 For a psychology internship program
4 Personal Service................................................................................................$218,192
5 Expense and Equipment........................................................................... 10,500
6 From Mental Health Earnings Fund (1288) (Not to exceed 5.60 F.T.E.).....................$228,692
1 Section 14.245. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For treatment of alcohol and drug abuse
4 From General Revenue Fund (1101) ............................................................................$741,435
5 From Department of Mental Health Federal Fund (1148)...........................................2,271,199
6 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................607,662
7 For adult psychiatric services
8 Expense and Equipment
9 From General Revenue Fund (1101) ................................................................... 58,335
10 Total ...........................................................................................................................$3,678,631
1 Section 14.250. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For treatment of alcohol and drug abuse for payment of services to
4 Certified Community Behavioral Health Organizations
5 Expense and Equipment
6 From General Revenue Fund (1101) ............................................................................$883,410
7 From Department of Mental Health Federal Fund (1148)...........................................1,288,779
8 From Mental Health Reinvestment Fund (1352) .........................................................6,600,000
9 For adult psychiatric services and community programs
10 Expense and Equipment
11 From General Revenue Fund (1101) ...........................................................................3,716,534
12 For youth psychiatric services and community programs
13 Expense and Equipment
14 From General Revenue Fund (1101) ...........................................................................6,514,628
15 From Department of Mental Health Federal Fund (1148)................................... 7,837,300
16 Total .........................................................................................................................$26,840,651
1 Section 14.252. To the Department of Mental Health
2 For the Division of Behavioral Health
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3 For outpatient competency restoration services authorized by Section
4 552.020, RSMo
5 Program Distribution
6 From General Revenue Fund (1101) .........................................................................$1,473,223
7 From Department of Mental Health Federal Fund (1148)................................... 1,578,597
8 Total ...........................................................................................................................$3,051,820
1 Section 14.255. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Fulton State Hospital
4 Expense and Equipment
5 From General Revenue Fund (1101) ..............................................................................$75,458
1 Section 14.260. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Northwest Missouri Psychiatric Rehabilitation Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$165,716
1 Section 14.265. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Forensic Treatment Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ............................................................................$176,689
1 Section 14.270. To the Department of Mental Health
2 For the Division of Behavioral Health
3 For the Southeast Missouri Mental Health Center
4 Expense and Equipment
5 From General Revenue Fund (1101) ..............................................................................$70,734
1 Section 14.285. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 To pay the state operated Intermediate Care Facilities for
4 Individuals with Intellectual Disabilities (ICF/ID) provider tax
5 Expense and Equipment
6 From General Revenue Fund (1101) ............................................................................$135,897
1 Section 14.290. To the Department of Mental Health
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2 For the Division of Developmental Disabilities
3 For community programs, including long-term care transformation
4 initiatives and efforts for reimbursement of providers based on
5 integration of key identified outcomes that produce value-based
6 care delivery models to improve quality and efficiency of the
7 total care delivered to individuals
8 From Department of Mental Health Federal Fund (1148).......................................$23,762,797
1 Section 14.295. To the Department of Mental Health
2 For the Division of Developmental Disabilities
3 For a designated provider (including a provider that operates in
4 coordination with a team of health care professionals) or a health
5 team selected by an eligible individual with chronic conditions to
6 provide health home services, designed to coordinate care for
7 individuals with identified health risks and chronic health
8 conditions receiving DD HCBS services
9 Program Distribution
10 From General Revenue Fund (1101) .........................................................................$1,231,506
11 From Department of Mental Health Federal Fund (1148)...........................................9,740,678
12 From Title XXI - Children’s Health Insurance Program Federal
13 Fund (1159).............................................................................................. 1,342,872
14 Total .........................................................................................................................$12,315,056
1 Section 14.300. To the Department of Mental Health
2 Funds are to be transferred out of the State Treasury, to Federal
3 Funds
4 From Intermediate Care Facility Intellectually Disabled Reimbursement
5 Allowance Fund (1901) ......................................................................................$30,208
1 Section 14.305. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For providing consumer directed personal care assistance services at a
4 rate not to exceed sixty percent (60%) of the average monthly
5 Medicaid cost of nursing facility care, including payments to
6 providers for value-based payment initiatives, provided ten
7 percent (10%) flexibility is allowed between this section and
8 Section 14.310 to allow flexibility within the Medicaid Home and
9 Community Based Services Program
10 Expense and Equipment
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11 From General Revenue Fund (1101) ............................................................................$629,442
12 From Department of Health and Senior Services Federal Fund
13 (1143) ....................................................................................................... 27,424,255
14 Total .........................................................................................................................$28,053,697
1 Section 14.310. To the Department of Health and Senior Services
2 For the Division of Senior and Disability Services
3 For respite care, homemaker chore, personal care, assistive technology,
4 adult day care, AIDS, children's waiver services, home-delivered
5 meals, Programs of All Inclusive Care for the Elderly, the
6 Structured Family Caregiver Waiver, Brain Injury Waiver, other
7 related services, and program management under the Medicaid
8 fee-for-service and managed care programs, including payments
9 to providers for value-based payment initiatives, provided that
10 individuals eligible for or receiving nursing home care must be
11 given the opportunity to have those Medicaid dollars follow them
12 to the community to the extent necessary to meet their unmet
13 needs as determined by 19 CSR 30 81.030 and further be allowed
14 to choose the personal care program option, including the option
15 of assistive technology, in the community that best meets the
16 individuals' unmet needs, provided ten percent (10%) flexibility
17 is allowed between this section and Section 14.305 to allow
18 flexibility within the Medicaid Home and Community Based
19 Services Program, and further provided that individuals eligible
20 for the Medicaid Personal Care Option must be allowed to
21 choose, from among all the program options, that option which
22 best meets their unmet needs as determined by 19 CSR 30
23 81.030; and also be allowed to have their Medicaid funds follow
24 them to the extent necessary to meet their unmet needs whichever
25 option they choose. This language does not create any
26 entitlements not established by statute
27 Program Distribution
28 From General Revenue Fund (1101) .........................................................................$8,687,520
29 From Department of Health and Senior Services Federal Fund (1143) .............. 82,001,904
30 Total .........................................................................................................................$90,689,424
1 Section 14.316. To the Department of Health and Senior Services
2 For a grant to the Department of Mental Health
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3 Funds are to be transferred out of the State Treasury for substance
4 abuse disorder treatment and education programs as provided by
5 Article XIV, Section 2 of the Missouri Constitution, to the Mental
6 Health Reinvestment Fund, provided the state treasurer shall
7 invest monies in the fund in the same manner as other funds are
8 invested, and any interest and monies earned on such investments
9 shall be deposited to the credit of the Mental Health
10 Reinvestment Fund, and further provided that any monies
11 remaining in the Mental Health Reinvestment Fund at the end of
12 the biennium shall not revert to the credit of the General Revenue
13 Fund
14 From Health Reinvestment Fund (1640) ...................................................................$6,600,000
1 Section 14.317. To the Department of Health and Senior Services
2 For the Division of Regulation and Licensure
3 For the Nursing Home Staffing Campaign (NHSC) in partnership with
4 the Centers for Medicare and Medicaid (CMS) to increase the
5 number of nurses working in nursing homes
6 Program Distribution
7 From Nursing Facility Quality of Care Fund (1271) .................................................$2,649,459
1 Section 14.320. 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) .......................................$5,468,361
1 Section 14.325. To the Department of Social Services
2 For the Division of Finance and Administrative Services
3 For the receipt and disbursement of refunds and incorrectly deposited
4 receipts to allow the over-collection of accounts receivables to be
5 paid back to the recipient, provided ten percent (10%) flexibility
6 is allowed between federal and other funds within this section
7 From Victims of Crime Act Federal Fund (1146) ........................................................$200,000
8 From Department of Social Services Federal Stimulus Fund (2355) .............................750,000
9 From Department of Social Services Federal Stimulus 2021 Fund
10 (2456) ....................................................................................................... 200,000
11 Total ...........................................................................................................................$1,150,000
SS SCS HCS HB 2014 18
1 Section 14.330. 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
6 From General Revenue Fund (1101) ............................................................................$116,923
1 Section 14.335. To the Department of Social Services
2 For the Family Support Division
3 For the income maintenance field staff and operations
4 Expense and Equipment
5 From General Revenue Fund (1101) .........................................................................$3,030,000
6 From Department of Social Services Federal Fund (1610) ................................. 9,090,000
7 Total .........................................................................................................................$12,120,000
1 Section 14.340. 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) .........................................................................$9,044,653
6 From Department of Social Services Federal Fund (1610) ................................. 22,971,458
7 Total .........................................................................................................................$32,016,111
1 Section 14.345. 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) .......................................$4,000,000
1 Section 14.350. To the Department of Social Services
2 For the Children’s Division
3 For room and board expenses for children placed in Qualified Residential
4 Treatment Program designated facilities, provided ten percent
5 (10%) flexibility is allowed between subsections within this
6 section
7 For placements in a Qualified Residential Treatment Program/non-
8 Institution for Mental Disease (QRTP/non-IMD) designated
9 facilities
10 From General Revenue Fund (1101) .........................................................................$1,739,023
11 From Department of Social Services Federal Fund (1610) ............................................948,314
SS SCS HCS HB 2014 19
12 For placements in Qualified Residential Treatment Programs/Institution
13 for Mental Disease (QRTP/IMD) designated facilities
14 From General Revenue Fund (1101) ..............................................................................582,501
15 From Department of Social Services Federal Fund (1610) ................................. 439,151
16 Total ...........................................................................................................................$3,708,989
1 Section 14.355. To the Department of Social Services
2 For the MO HealthNet Division
3 For the Rural Health Transformation Program
4 From Rural Health Transformation Fund (1125)...................................................$100,000,000
1 Section 14.360. To the Department of Social Services
2 For the MO HealthNet Division
3 For pharmaceutical payments under the MO HealthNet fee-for-service
4 program, professional fees for pharmacists, and for a
5 comprehensive chronic care risk management program, provided
6 ten percent (10%) flexibility is allowed between this subsection
7 and Sections 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and
8 14.400
9 From Title XIX - Federal Fund (1163) ..................................................................$101,874,626
1 Section 14.365. 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) ............................................................................$113,011
1 Section 14.370. To the Department of Social Services
2 For the MO HealthNet Division
3 For physician services and related services including, but not limited to,
4 clinic and podiatry services, telemedicine services, physician-
5 sponsored services and fees, laboratory and x-ray services,
6 asthma related services, diabetes prevention and obesity related
7 services, services provided by chiropractic physicians, and
8 family planning services under the MO HealthNet fee-for-service
9 program, and for a comprehensive chronic care risk management
10 program, and Major Medical Prior Authorization, provided ten
11 percent (10%) flexibility is allowed between this subsection and
SS SCS HCS HB 2014 20
12 Sections 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and
13 14.400
14 From General Revenue Fund (1101) .........................................................................$7,699,304
15 From Title XIX - Federal Fund (1163) ......................................................................69,266,144
16 For payment of physician and related services to Certified Community
17 Behavioral Health Organizations (CCBHO), provided that
18 Applied Behavioral Analysis (ABA) services are included in the
19 CCBHO Prospective Payment System
20 From General Revenue Fund (1101) ................................................................... 18,904,867
21 Total .........................................................................................................................$95,870,315
1 Section 14.375. To the Department of Social Services
2 For the MO HealthNet Division
3 For fees associated with third-party collections and other revenue
4 maximization cost avoidance fees
5 Expense and Equipment
6 From Department of Social Services Federal Fund (1610) .......................................$4,500,000
7 From Third Party Liability Collections Fund (1120)........................................... 4,500,000
8 Total ...........................................................................................................................$9,000,000
1 Section 14.380. 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 14.360, 14.370, 14.380,
9 14.385, 14.390, 14.395, and 14.400
10 From General Revenue Fund (1101) .......................................................................$26,645,465
11 From Title XIX - Federal Fund (1163) ................................................................ 49,296,410
12 Total .........................................................................................................................$75,941,875
1 Section 14.385. 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
SS SCS HCS HB 2014 21
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 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and
12 14.400
13 From General Revenue Fund (1101) .......................................................................$33,202,526
14 From Title XIX - Federal Fund (1163) ................................................................ 801,857
15 Total .........................................................................................................................$34,004,383
1 Section 14.390. To the Department of Social Services
2 For the MO HealthNet Division
3 For payment to comprehensive prepaid health care plans for the general
4 plan as provided by federal or state law or for payments to
5 programs authorized by the Frail Elderly Demonstration Project
6 Waiver as provided by the Omnibus Budget Reconciliation Act
7 of 1990 (P.L.101-508, Section 4744) and by Section 208.152
8 (16), RSMo; provided that the department shall implement
9 programs or measures to achieve cost-savings through
10 emergency room services reform, and further provided that MO
11 HealthNet eligibles described in Section 501(a)(1)(D) of Title V
12 of the Social Security Act may voluntarily enroll in the Managed
13 Care Program, and further provided that the Department shall
14 direct its contracted actuary to develop an Aged, Blind, and
15 Disabled rate cell inside the MO HealthNet Managed Care
16 program to reflect the cost of those members choosing to be
17 enrolled in a managed care plan, and further provided ten percent
18 (10%) flexibility is allowed between this subsection and Sections
19 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 14.400
20 From General Revenue Fund (1101) .......................................................................$48,753,380
21 From Title XIX - Federal Fund (1163) ................................................................ 74,260,641
22 Total .......................................................................................................................$123,014,021
1 Section 14.395. 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
SS SCS HCS HB 2014 22
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 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 14.400
15 From Title XIX - Federal Fund (1163) ....................................................................$10,599,248
16 For Safety Net Payments
17 From General Revenue Fund (1101) ................................................................... 29,487,659
18 Total .........................................................................................................................$40,086,907
1 Section 14.400. 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) .......................................................................$73,911,339
6 From Title XIX - Adult Expansion Federal Fund (1358) ........................................343,843,374
7 From Federal Reimbursement Allowance Fund (1142) .................................................435,065
8 From Pharmacy Reimbursement Allowance Fund (1144) .............................................423,042
9 From Nursing Facility Reimbursement Allowance Fund (1196) ...................................619,607
10 For payments to the Department of Mental Health for Community
11 Psychiatric Rehabilitation (CPR) services, Comprehensive
12 Substance Abuse Treatment and Rehabilitation (CSTAR)
13 services, Targeted Case Management (TCM) for behavioral
14 health services, and Certified Community Behavioral Health
15 Organizations (CCBHO) for MO HealthNet participants and the
16 uninsured
17 From Title XIX - Adult Expansion Federal Fund (1358) ..........................................59,741,366
18 From Department of Social Services Intergovernmental Transfer Fund
19 (1139) ....................................................................................................... 6,637,930
20 Total .......................................................................................................................$485,611,723
1 Section 14.405. To the Department of Social Services
SS SCS HCS HB 2014 23
2 For payments to the Department of Mental Health for Community
3 Psychiatric Rehabilitation (CPR) services, Comprehensive
4 Substance Abuse Treatment and Rehabilitation (CSTAR)
5 services, Targeted Case Management (TCM) for behavioral
6 health services, and Certified Community Behavioral Health
7 Organizations (CCBHO) for MO HealthNet participants and the
8 uninsured
9 From Title XIX - Federal Fund (1163) ....................................................................$47,690,432
1 Section 14.410. For the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 For the payment of real property leases, utilities, systems furniture, and
4 structural modifications
5 For the Department of Elementary and Secondary Education
6 Expense and Equipment
7 From General Revenue Fund (1101) ................................................................................$9,160
8 From Vocational Rehabilitation Fund (1104)...................................................................34,263
9 From DESE - Federal Fund (1105)........................................................................................295
10 From Child Care and Development Block Grant - Federal Fund (1168) ...........................1,400
11 From Assistive Technology Federal Fund (1188) .................................................................744
12 From Deaf Relay Service and Equipment Distribution Fund (1559) ....................................524
13 From Charter Public School Commission Revolving Fund (1860).......................................395
14 From Assistive Technology Loan Revolving Fund (1889) ...................................................225
15 For the Department of Higher Education and Workforce Development
16 Expense and Equipment
17 From Job Development and Training Fund (1155) ..........................................................24,899
18 From Special Employment Security Fund (1949) ..............................................................4,206
19 For the Department of Revenue
20 Expense and Equipment
21 From General Revenue Fund (1101) ................................................................................13,497
22 For the Department of Revenue
23 For the State Lottery Commission
24 Expense and Equipment
25 From Lottery Enterprise Fund (1657).................................................................................8,387
26 For the Office of Administration
SS SCS HCS HB 2014 24
27 Expense and Equipment
28 From General Revenue Fund (1101) ................................................................................17,085
29 For the Office of Administration
30 For the Ethics Commission
31 Expense and Equipment
32 From General Revenue Fund (1101) ..................................................................................2,254
33 For the Department of Agriculture
34 Expense and Equipment
35 From General Revenue Fund (1101) ..................................................................................6,315
36 From Department of Agriculture - Federal Fund (1133) .........................................................65
37 From Grain Inspection Fee Fund (1647) ............................................................................1,011
38 From Petroleum Inspection Fund (1662) ...............................................................................451
39 From Agriculture Protection Fund (1970) ...............................................................................36
40 For the Department of Natural Resources
41 Expense and Equipment
42 From General Revenue Fund (1101) ..................................................................................9,041
43 From DNR- Federal Fund (1140) .......................................................................................6,357
44 From Missouri Air Emission Reduction Fund (1267) ...........................................................612
45 From State Park Earnings Fund (1415) ..............................................................................1,608
46 From Historic Preservation Revolving Fund (1430) .............................................................560
47 From DNR Cost Allocation Fund (1500) ...........................................................................1,670
48 From Natural Resources Protection Fund (1555) ..................................................................179
49 From Natural Resources Protection Fund Water Pollution Permit Fee
50 Subaccount (1568) ..................................................................................................1,849
51 From Solid Waste Management Fund Scrap Tire Subaccount (1569) ..................................543
52 From Solid Waste Management Fund (1570).....................................................................2,739
53 From Natural Resources Protection Fund Air Pollution Asbestos Fee
54 Subaccount (1584) .....................................................................................................396
55 From Petroleum Storage Tank Insurance Fund (1585)..........................................................741
56 From Underground Storage Tank Regulation Program Fund (1586) ....................................227
57 From Natural Resources Protection Fund Air Pollution Permit Fee
58 Subaccount (1594) ..................................................................................................4,739
59 From Parks Sales Tax Fund (1613) ....................................................................................2,447
60 From Soil and Water Sales Tax Fund (1614) ........................................................................526
61 From Hazardous Waste Fund (1676) ..................................................................................2,629
62 From Safe Drinking Water Fund (1679).............................................................................1,967
SS SCS HCS HB 2014 25
63 For the Department of Economic Development
64 Expense and Equipment
65 From General Revenue Fund (1101) .....................................................................................204
66 For the Department of Commerce and Insurance
67 Expense and Equipment
68 From Office of Public Counsel Fund (1508) ......................................................................1,886
69 From Division of Finance Fund (1550) ..............................................................................2,298
70 From Insurance Examiners Fund (1552) ...............................................................................121
71 From Insurance Dedicated Fund (1566) ................................................................................308
72 From Manufactured Housing Fund (1582) ............................................................................337
73 From Public Service Commission Fund (1607)................................................................17,662
74 From Professional Registration Fees Fund (1689) ..................................................................40
75 For the Department of Labor and Industrial Relations
76 Expense and Equipment
77 From General Revenue Fund (1101) .....................................................................................437
78 From DOLIR - Commission on Human Rights - Federal Fund (1117).................................206
79 From DOLIR Administrative Fund (1122)..............................................................................79
80 From Unemployment Compensation Administration Fund (1948)....................................1,482
81 From Workers’ Compensation Fund (1652).......................................................................7,299
82 For the Department of Public Safety
83 Expense and Equipment
84 From State Emergency Management - Federal Fund (1145).................................................149
85 From Veterans’ Commission Capital Improvement Trust Fund (1304).............................2,664
86 From Division of Alcohol and Tobacco Control Fund (1544) ...........................................2,269
87 For the Department of Public Safety
88 For the State Highway Patrol
89 Expense and Equipment
90 From General Revenue Fund (1101) ..................................................................................3,668
91 From Department of Public Safety - Federal Fund (1152) ....................................................159
92 From State Highways and Transportation Department Fund (1644)................................21,442
93 For the Department of Public Safety
94 For the Missouri Gaming Commission
95 Expense and Equipment
96 From Gaming Commission Fund (1286) ............................................................................7,993
SS SCS HCS HB 2014 26
97 For the Missouri National Guard
98 Expense and Equipment
99 From General Revenue Fund (1101) .....................................................................................909
100 From Adjutant General - Federal Fund (1190) .................................................................21,848
101 From Federal Drug Seizure - Federal Fund (1194) ...............................................................432
102 For the Department of Corrections
103 Expense and Equipment
104 From General Revenue Fund (1101) ..............................................................................118,713
105 From Working Capital Revolving Fund (1510)..................................................................4,931
106 For the Department of Mental Health
107 Expense and Equipment
108 From General Revenue Fund (1101) ................................................................................60,024
109 For the Department of Health and Senior Services
110 Expense and Equipment
111 From General Revenue Fund (1101) ................................................................................65,693
112 From Department of Health and Senior Services - Federal Fund (1143) .........................57,263
113 For the Department of Social Services
114 Expense and Equipment
115 From General Revenue Fund (1101) ..............................................................................196,310
116 From Department of Social Services - Federal Fund (1610) ..........................................101,517
117 For the Lieutenant Governor
118 Expense and Equipment
119 From General Revenue Fund (1101) ..................................................................................4,689
120 From Missouri Arts Council Trust Fund (1262).................................................................4,974
121 For the Attorney General
122 Expense and Equipment
123 From General Revenue Fund (1101) ................................................................................31,164
124 From Attorney General - Federal Fund (1136)...................................................................9,768
125 From Merchandising Practices Revolving Fund (1631) .....................................................9,353
126 From Workers’ Compensation Fund (1652).......................................................................7,122
127 From Workers’ Compensation - Second Injury Fund (1653) .............................................7,122
128 From Hazardous Waste Fund (1676) .....................................................................................144
129 From Missouri Office of Prosecution Services Fund (1680)..............................................1,406
SS SCS HCS HB 2014 27
130 For the Secretary of State
131 Expense and Equipment
132 From General Revenue Fund (1101) ..................................................................................9,830
133 From Local Records Preservation Fund (1577).....................................................................819
134 For the State Auditor
135 Expense and Equipment
136 From General Revenue Fund (1101) ..................................................................................1,262
137 For the Judiciary
138 Expense and Equipment
139 From General Revenue Fund (1101) ..............................................................................118,559
140 From Judiciary- Federal Fund (1137) ....................................................................................409
141 From Judiciary Education and Training Fund (1847).......................................... 2,607
142 Total ...........................................................................................................................$1,071,613
1 Section 14.415. For the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 For operation of state-owned facilities, utilities, systems furniture, and
4 structural modifications
5 For the Department of Elementary and Secondary Education
6 Expense and Equipment
7 From General Revenue Fund (1101) ................................................................................$9,314
8 From Vocational Rehabilitation Fund (1104).................................................................191,406
9 From DESE - Federal Fund (1105)...................................................................................12,517
10 From Child Care and Development Block Grant - Federal Fund (1168) .........................19,621
11 For the Department of Higher Education and Workforce Development
12 Expense and Equipment
13 From General Revenue Fund (1101) ..................................................................................5,385
14 From Job Development and Training Fund (1155) ..........................................................28,570
15 For the Department of Revenue
16 Expense and Equipment
17 From General Revenue Fund (1101) ..............................................................................101,793
18 For the Office of Administration
19 Expense and Equipment
20 From General Revenue Fund (1101) ..............................................................................229,271
SS SCS HCS HB 2014 28
21 From Children’s Trust Fund (1694).......................................................................................543
22 For the Department of Agriculture
23 Expense and Equipment
24 From General Revenue Fund (1101) ..................................................................................4,011
25 From Department of Agriculture - Federal Fund (1133) .......................................................788
26 From Animal Health Laboratory Fee Fund (1292)................................................................781
27 From Animal Care Reserve Fund (1295)...............................................................................115
28 From Commodity Council Merchandising Fund (1406) .........................................................63
29 From Single - Purpose Animal Facilities Loan Program Fund (1408) ....................................75
30 From State Milk Inspection Fees Fund (1645) ........................................................................83
31 From Grain Inspection Fees Fund (1647) ...........................................................................7,712
32 From Petroleum Inspection Fund (1662) ............................................................................2,409
33 From Missouri Wine and Grape Fund (1787)........................................................................204
34 From Agriculture Development Fund (1904) ..........................................................................37
35 From Agriculture Protection Fund (1970) ..........................................................................5,905
36 For the Department of Natural Resources
37 Expense and Equipment
38 From General Revenue Fund (1101) ................................................................................36,107
39 From DNR - Federal Fund (1140) ......................................................................................5,753
40 From Missouri Air Emission Reduction Fund (1267) ........................................................2,620
41 From DNR Cost Allocation Fund (1500) ...........................................................................2,509
42 From Natural Resources Protection Fund Water Pollution Permit Fee
43 Subaccount (1568) ................................................................................................10,818
44 From Solid Waste Management Fund Scrap Tire Subaccount (1569) ...............................2,274
45 From Solid Waste Management Fund (1570).....................................................................2,492
46 From Metallic Minerals Waste Management Fund (1575)......................................................82
47 From Natural Resources Protection Fund Air Pollution Asbestos Fee
48 Subaccount (1584) .......................................................................................................69
49 From Natural Resources Protection Fund Air Pollution Permit Fee
50 Subaccount (1594) ................................................................................................10,068
51 From Soil and Water Sales Tax Fund (1614) ........................................................................703
52 From Energy Set-Aside Program Fund (1667) ......................................................................623
53 From Hazardous Waste Fund (1676) ..................................................................................6,919
54 From Safe Drinking Water Fund (1679)...........................................................................10,620
55 From Mined Land Reclamation Fund (1906) ........................................................................218
56 From Energy Futures Fund (1935) ..........................................................................................22
SS SCS HCS HB 2014 29
57 For the Department of Economic Development
58 Expense and Equipment
59 From General Revenue Fund (1101) ..................................................................................5,060
60 From Division of Tourism Supplemental Revenue Fund (1274) .......................................1,770
61 From Department of Economic Development Administrative
62 Fund (1547)................................................................................................................604
63 For the Department of Commerce and Insurance
64 Expense and Equipment
65 From Division of Credit Unions Fund (1548) .......................................................................638
66 From Division of Finance Fund (1550) ............................................................................25,211
67 From Insurance Examiners Fund (1552) ...............................................................................710
68 From Insurance Dedicated Fund (1566) .............................................................................9,601
69 From Public Service Commission Fund (1607)................................................................26,481
70 From Professional Registration Fees Fund (1689) .............................................................5,526
71 For the Department of Labor and Industrial Relations
72 Expense and Equipment
73 From General Revenue Fund (1101) ..................................................................................9,886
74 From DOLIR - Commission on Human Rights - Federal Fund (1117)..............................3,842
75 From DOLIR Administrative Fund (1122).........................................................................9,529
76 From Division of Labor Standards - Federal Fund (1186) ....................................................153
77 From Unemployment Compensation Administration Fund (1948)..................................62,446
78 From Workers’ Compensation Fund (1652).....................................................................83,198
79 From Special Employment Security Fund (1949) ..............................................................1,443
80 For the Department of Public Safety
81 Expense and Equipment
82 From General Revenue Fund (1101) ..................................................................................9,367
83 From Veterans’ Commission Capital Improvement Trust Fund (1304)...........................10,701
84 From Division of Alcohol and Tobacco Control Fund (1544) .........................................16,766
85 For the Department of Public Safety
86 For the State Highway Patrol
87 Expense and Equipment
88 From General Revenue Fund (1101) ................................................................................13,296
89 From State Highways and Transportation Department Fund (1644)................................66,277
90 For the Department of Public Safety
91 For the Missouri Gaming Commission
SS SCS HCS HB 2014 30
92 Expense and Equipment
93 From Gaming Commission Fund (1286) ..........................................................................15,463
94 For the Department of Corrections
95 Expense and Equipment
96 From General Revenue Fund (1101) ..............................................................................200,447
97 For the Department of Mental Health
98 Expense and Equipment
99 From General Revenue Fund (1101) ..............................................................................113,387
100 From Department of Mental Health Federal Fund (1148)................................................22,831
101 From Health Initiatives Fund (1275) .....................................................................................163
102 For the Department of Health and Senior Services
103 Expense and Equipment
104 From General Revenue Fund (1101) ................................................................................97,731
105 From Department of Health and Senior Services - Federal Fund (1143) .......................105,232
106 For the Department of Social Services
107 Expense and Equipment
108 From General Revenue Fund (1101) ..............................................................................956,159
109 From Temporary Assistance for Needy Families Fund (1199) ........................................19,482
110 From Department of Social Services - Federal Fund (1610) ..........................................188,148
111 From Health Initiatives Fund (1275) ..................................................................................5,340
112 From Department of Social Services Educational Improvement
113 Fund (1620)................................................................................................................850
114 For the Governor
115 Expense and Equipment
116 From General Revenue Fund (1101) ................................................................................23,358
117 For the Lieutenant Governor
118 Expense and Equipment
119 From General Revenue Fund (1101) ..................................................................................1,206
120 For the General Assembly
121 Expense and Equipment
122 From General Revenue Fund (1101) ................................................................................41,794
123 For the Secretary of State
SS SCS HCS HB 2014 31
124 Expense and Equipment
125 From General Revenue Fund (1101) ................................................................................39,786
126 From Secretary of State’s Technology Trust Fund Account (1266)......................................284
127 From Local Records Preservation Fund (1577).....................................................................154
128 From Investor Education and Protection Fund (1829) ..........................................................583
129 For the State Auditor
130 Expense and Equipment
131 From General Revenue Fund (1101) ................................................................................39,128
132 For the Attorney General
133 Expense and Equipment
134 From General Revenue Fund (1101) ................................................................................34,787
135 From Attorney General - Federal Fund (1136).................................................................16,886
136 From Natural Resources Protection Water Pollution Permit Fee
137 Subaccount Fund (1568) ............................................................................................504
138 From Workers’ Compensation Fund (1652).......................................................................8,657
139 From Workers’ Compensation Second Injury Fund (1653) ...............................................8,660
140 From Hazardous Waste Fund (1676) .....................................................................................211
141 For the State Treasurer
142 Expense and Equipment
143 From State Treasurer’s General Operations Fund (1164)...................................................4,099
144 For the Judiciary
145 Expense and Equipment
146 From General Revenue Fund (1101) ................................................................... 5,882
147 Total ...........................................................................................................................$3,026,217
1 Section 14.420. To the Office of Administration
2 For the Division of Facilities Management, Design and Construction
3 For the operation of institutional facilities, utilities, systems furniture,
4 and structural modifications
5 For the Department of Elementary and Secondary Education
6 Expense and Equipment
7 From General Revenue Fund (1101) ............................................................................$189,251
8 For the Department of Mental Health
9 Expense and Equipment
10 From General Revenue Fund (1101) ..............................................................................964,478
SS SCS HCS HB 2014 32
11 For the Department of Social Services
12 Expense and Equipment
13 From General Revenue Fund (1101) ..............................................................................156,152
14 From Department of Social Services Federal Fund (1610) ................................. 35,859
15 Total ...........................................................................................................................$1,345,740
PART 2
1 Section 14.2005. To the Office of Administration
2 In reference to all sections in Part 1 of this act to said department:
3 The department shall prioritize existing enterprise agreements
4 when considering procurement or additional functionality for any
5 information technology for citizen engagement or supporting
6 state workers and programs. Prior to obligating the state to any
7 ongoing IT expense, including subscription or maintenance costs,
8 departments shall evaluate the state’s existing enterprise
9 agreements, including enterprise-wide licensing and other IT
10 assets. Prior to purchasing a new subscription for any
11 functionality described in this section, departments shall first
12 consider the state enterprise agreements in existence at the time
13 of procurement. If such an existing enterprise agreement is
14 appropriate for the functionality, it shall be given preference in
15 the procurement. Additionally, departments shall seek to adopt
16 functionality on any platform with an enterprise-wide agreement
17 with the state prior to incurring costs for additional platforms or
18 programs. All IT procurements processed through the Office of
19 Administration shall include a statement outlining compliance
20 with this section.
1 Section 14.2010. To the Department of Public Safety
2 In reference to Sections 14.170 through and including 14.180 of
3 Part 1 of this act:
4 No funds shall be spent for any flight on a state aircraft where an
5 elected official will be on board without a flight plan being made
6 publicly available via a global aviation data services organization
7 that operates both a website and mobile application which
8 provides free flight tracking of both private and commercial
9 aircraft.
SS SCS HCS HB 2014 33
1 Section 14.2015. To the Department of Mental Health
2 In reference to Sections 14.245 and 14.250 of Part 1 of this act:
3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2025, with the
5 exception of Certified Community Behavioral Health Clinics, for
6 which no funds shall be expended in furtherance of a Medicare
7 Economic Index rate increase of 2.5% greater than the rate in
8 effect on January 1, 2025, with the exception of revenue
9 maximization initiatives, and further excepting rates of cost-
10 based and actuarially sound rate changes for Comprehensive
11 Substance Treatment and Rehabilitation (CSTAR) and
12 Compulsive Gambling; and further excepting providers of
13 children’s residential services classified as an Institution of
14 Mental Disease (IMD) Qualified Residential Treatment Program
15 (QRTP) or as a non-IMD QRTP, for which no funds shall be
16 expended in furtherance of rates greater than: $194.47 per day for
17 Level II, $239.16 per day for Level III, $253.80 per day for Level
18 IV.
1 Section 14.2020. To the Department of Mental Health
2 In reference to Section 14.290 of Part 1 of this act:
3 No funds shall be expended in furtherance of waiver slots
4 assigned on July 1, 2025, except for: 400 additional waiver slots
5 for Crisis Residential Services, 54 additional slots for individuals
6 transitioning from Nursing Homes, 48 additional slots for
7 children transitioning from DSS Children's Division funded
8 waiver slots, 500 additional waiver slots for the Community
9 Support Waiver for prevention of in-home wait list, 200
10 additional waiver slots for Partnership for Hope services, and 83
11 additional waiver slots for children transitioning out of the
12 MoCDD Waiver.
1 Section 14.2025. To the Department of Mental Health
2 In reference to Section 14.295 of Part 1 of this act:
3 No funds shall be expended in furtherance of a DD Health Home
4 rate of $105.90 PMPM.
1 Section 14.2030. To the Department of Health and Senior Services
2 In reference to Sections 14.305 and 14.310 of Part 1 of this act:
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3 No funds shall be expended in furtherance of provider rates
4 greater than the rate in effect on January 1, 2025, except Private
5 Duty Nursing rates for which no funds shall be expended in
6 furtherance of provider rates for Private Duty Nursing greater
7 than a rate of $15.20 per fifteen-minute unit of service, and
8 further excepting provider reassessment services rates, for which
9 no funds shall be expended in furtherance of rates greater than
10 $100 per assessment, unless such provider is enrolled in the
11 Value Based Purchasing Reassessment Program, and further
12 excepting the Medicaid Home-Delivered Meals rate for which no
13 funds shall be expended in furtherance of provider rates for
14 Medicaid Home-Delivered Meals greater than $7.14 per meal.
1 Section 14.2035. To the Department of Health and Senior Services
2 In reference to Section 14.317 of Part 1 of this act:
3 No funds shall be expended for Certified Nursing Assistant
4 (CNA) training reimbursement greater than $1,500 per enrollee.
1 Section 14.2040. To the Department of Social Services
2 In reference to Section 14.330 of Part 1 of this act:
3 No funds shall be expended in furtherance of reimbursement rates
4 greater than $17 per day.
1 Section 14.2045. To the Department of Social Services
2 In reference to Section 14.380 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 14.2050. To the Department of Social Services
2 In reference to Section 14.390 of Part 1 of this act:
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3 No funds shall be expended in furtherance of managed care
4 contract rates greater than the lower bound actuarial soundness
5 rate.
PART 3
1 Section 14.3005. To the Department of Elementary and Secondary
2 Education
3 In reference to all sections in Part 1 of this act to said department:
4 The Department shall provide written notification prior to
5 submission to the federal government of state plans and state plan
6 amendments, and quarterly financial reports, to the House Budget
7 and Senate Appropriation Committee Chairs. The Department
8 shall include in the notification the actual documents submitted
9 to the federal government, as well as the federal government’s
10 responses when received.
1 Section 14.3010. To the Department of Elementary and Secondary
2 Education
3 In reference to all sections in Part 1 of this act to said department:
4 The Department shall provide notification and correspondence
5 from the federal government of non-compliance with federal
6 programs or grants to the House Budget and Senate
7 Appropriation Committee Chairs.
1 Section 14.3015. To the Department of Elementary and Secondary
2 Education
3 In reference to all sections in Part 1 of this act to said department:
4 The Department shall provide written notification of spend plans
5 and spend plan amendments to the House Budget and Senate
6 Appropriation Committee Chairs prior to submission to the
7 federal government and prior to expenditure of such funds.
1 Section 14.3020. To the Department of Mental Health
2 In reference to Sections 14.235 through and including 14.300 in
3 of Part 1 of this act:
4 The Department shall provide monthly reports to the House
5 Budget and Senate Appropriations Committee Chairs for each
6 DMH Medicaid waiver, large service type by waiver, and
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7 targeted case management costs: 1) The actual federal and state
8 share expenditures by appropriation and fund, number of waiver
9 slots assigned, average cost per slot, estimated current fiscal year
10 costs, estimated full fiscal year costs; 2) The actual federal and
11 state share expenditures by appropriation and fund, number of
12 new waiver slots assigned in FY 2026, average cost per slot,
13 estimated current fiscal year costs, estimated full fiscal year
14 costs; and 3) The number of individuals presenting for service
15 that have not been assigned a waiver slot, estimated current fiscal
16 year federal and state share costs if they were to be assigned,
17 estimated full fiscal year costs if they were to be assigned.
1 Section 14.3025. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 of this act to said department:
4 The Departments shall provide written notification and
5 correspondence from the federal government of non-compliance
6 with federal programs or grants to the House Budget and Senate
7 Appropriation Committee Chairs.
1 Section 14.3030. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 of this act to said department:
4 The Departments shall provide written documentation on rate
5 setting reports, rate studies, time surveys, time studies, and
6 random moment time studies; and the federal and state share
7 fiscal impact estimates, to the House Budget and Senate
8 Appropriation Committee Chairs.
1 Section 14.3035. To the Department of Mental Health and the
2 Department of Health and Senior Services
3 In reference to all sections in Part 1 of this act to said department:
4 The Department shall provide copies of financial reports,
5 maintenance of effort reports, and public assistance cost
6 allocation plans submitted to the federal government and
7 supporting cash on hand reports, by grant, to the House Budget
8 and Senate Appropriation Committee Chairs.
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1 Section 14.3040. To the Department of Social Services
2 In reference to Section 14.390 of Part 1 and Part 2 of this act:
3 Contract changes shall be provided in writing, prior to
4 submission to the Centers for Medicare and Medicaid Services,
5 to the House Budget and Senate Appropriation Committee
6 Chairs.
1 Section 14.3045. To the Department of Social Services
2 In reference to all sections in Part 1 of this act to said department:
3 The Department shall provide written notification, prior to
4 submission to the federal government, of state plans and state
5 plan amendments, grant applications, and Medicaid waivers to
6 the House Budget and Senate Appropriation Committee Chairs.
7 The Department shall include in the notification the actual
8 documents submitted to the federal government, as well as the
9 federal government’s responses when received.
1 Section 14.3050. To the Department of Social Services
2 In reference to all sections in Part 1 of this act to said department:
3 The Department shall provide written documentation of rate
4 setting, rate studies, time surveys, time studies, and random
5 moment time studies, and the federal and state share fiscal impact
6 estimates, including Title IV-E Foster Care eligibility and
7 participation rates to the House Budget and Senate Appropriation
8 Committee Chairs.
1 Section 14.3055. To the Department of Social Services
2 In reference to all sections in Part 1 of this act to said department:
3 The Department shall provide written notification and
4 correspondence from the federal government of non-compliance
5 with federal programs or grants to the House Budget and Senate
6 Appropriation Committee Chairs.
1 Section 14.3060. To the Department of Social Services
2 In reference to all sections in Part 1 of this act to said department:
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.
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1 Section 14.3065. To the Department of Social Services
2 In reference to all sections in Part 1 of this act to said department:
3 The Department shall provide monthly expenditures and
4 projections for Child Welfare programs and Medicaid programs
5 for the current state fiscal year and next state fiscal year to the
6 House Budget and Senate Appropriation Committee Chairs on a
7 monthly basis.
Bill Totals
General Revenue Fund (10.00 F.T.E.) ...................................................................$516,821,860
Federal Funds (1.60 F.T.E) ...................................................................................1,870,192,774
Other Funds (1,148.44 F.T.E) ............................................................................... 670,296,305
Total (1,160.04 F.T.E.) .......................................................................................$3,057,310,939
Every fact on this page links to its source, starting with the official bill record.