Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee

SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE FOR
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 2010
103RD GENERAL ASSEMBLY
2010H.06T 2026
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Mental Health, the Department of Health and Senior Services, and the several divisions
and programs thereof, and the Missouri H ealth Facilities Review Committee to be
expended only as provided in Article IV, Section 28 of the Constitution of Missouri,
and to transfer money among certain funds for the period beginning July 1, 2026, and
ending June 30, 2027.

Be it enacted by the General Assembly of the state of Missouri, as follows:

There is appropriated out of the State Treas ury, to be expended only as provided in 1
Article IV, Section 28 of the Constitution of Missouri for the purpose of funding each 2
department, division, agency, fund transfer, and program described herein, for the item or items 3
stated, and for no other purpose wh atsoever, chargeable to the fund designated for the period 4
beginning July 1, 2026, and ending June 30, 2027, as follows:5

PART 1

Section 10.000. Each appropriation in th is act shall cons ist of the item 1
or items in each section of Part 1 of this act, for the amount and 2
purpose and from the fund designated in each se ction of Part 1, 3
as well as all additional clarifications of purpose in Part 2 of this 4
act that make reference by section to said item or items in Part 1. 5
Any clarification of purpose in Pa rt 2 shall state the section or 6
CCS SS SCS HCS HB 2010 2

sections in Part 1 to which it attaches and shall, together with the 7
language of said section(s) in Part 1, form the complete statement 8
of purpose of the appropriation. As such, the provisions of Part 2 9
of this act shall not be severed from Part 1, and if any clarification 10
of purpose in Part 2 is for any reason held to be invalid, such 11
decision shall invalidate all of the appropriations in this act of 12
which said clarification of purpose is a part. Part 3 of this act shall 13
consist of guidance to the Department of Mental Health and the 14
Department of Health and Senior Services in implementing the 15
appropriations found in Part 1 an d Part 2 of this act. An 16
appropriation may be comprised in whole or in part of a one-time 17
amount, and such one-time amount shall be construed to be a 18
component part of, and not in addition to, the stated appropriation 19
amount. Any amount of an appr opriation identified as “one-20
time” in this act shall not be considered an addition to any 21
ongoing core appropriation(s) in future fiscal periods beyond 22
June 30, 2027. Any amount identified as one-time may, however, 23
be requested in any future fiscal period as a new decision item. 24

Section 10.005. To the Department of Mental Health 1
For the Office of the Director, provided three percent (3%) flexibility is 2
allowed from this section to Section 10.575 3
Personal Service ................................................................................................$652,333 4
Expense and Equipment ........................................................................... 18,762 5
From General Revenue Fund (1101) ..............................................................................671,095 6

Personal Service ..................................................................................................105,698 7
Expense and Equipment ........................................................................... 53,805 8
From Department of Mental Health Federal Fund (1148) ................................... 159,503 9
Total (Not to exceed 7.82 F.T.E.) .................................................................................$830,598 10

Section 10.006. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasu ry to the OA 2
Information Technology Federal Fund 3
From Department of Mental Health Federal Fund (1148) .........................................$4,833,6394

Section 10.020. To the Department of Mental Health 1
For the Office of the Director 2
CCS SS SCS HCS HB 2010 3

For program operations and support, provided thr ee percent (3%) 3
flexibility is allowed from this section to Section 10.575 4
Personal Service .............................................................................................$6,518,909 5
Expense and Equipment ........................................................................... 305,736 6
From General Revenue Fund (1101) ...........................................................................6,824,645 7

Personal Service ...............................................................................................1,317,826 8
Expense and Equipment ........................................................................... 794,441 9

From Department of Mental Health Federal Fund (1148) ...........................................2,112,267 10

To procure and implement a multi-year, vendor-hosted, 11
integrated commercial off the sh elf electronic health record 12
system for use in all of the department's hospitals and facilities 13
Personal Service ..................................................................................................648,233 14
Expense and Equipment ........................................................................... 3,490,054 15
From General Revenue Fund (1101) ................................................................... 4,138,287 16
Total (Not to exceed 126.55 F.T.E.) ........................................................................$13,075,199 17

Section 10.025. To the Department of Mental Health 1
For the Office of the Director 2
For staff training, provided ten percent (10%) flexibility is allowed from 3
personal service to expense a nd equipment and three percent 4
(3%) flexibility is allowed from this section to Section 10.575 5
Expense and Equipment 6
From General Revenue Fund (1101) ............................................................................$659,140 7

Personal Service ..................................................................................................231,677 8
Expense and Equipment ........................................................................... 290,481 9
From Department of Mental Health Federal Fund (1148) ..............................................522,158 10

For the Caring for Missourians' Mental Health Initiative 11
Expense and Equipment 12
From Department of Mental Health Federal Fund (1148) ................................... 551,705 13
Total ...........................................................................................................................$1,733,003 14

Section 10.030. To the Department of Mental Health 1
For the Office of the Director 2
For Employee Support Resources 3
CCS SS SCS HCS HB 2010 4

For support services to DMH state operated facilities and office staff 4
Personal Service ................................................................................................$396,636 5
Expense and Equipment ........................................................................... 1,269,650 6
From Department of Mental Health Federal Fund (1148) (Not to exceed 7
5.00 F.T.E.) ....................................................................................................$1,666,286 8

Section 10.035. To the Department of Mental Health 1
For the Office of the Director 2
For funding insurance, private pa y, licensure fee, and/or Medicaid 3
refunds by state facilities operated by the Department of Mental 4
Health 5
From General Revenue Fund (1101) ............................................................................$205,000 6

For refunds 7
From Department of Mental Health Federal Fund (1148) ..............................................500,000 8
From Mental Health Interagency Payments Fund (1109) ......................................................100 9
From Mental Health Intergovernmental Transfer Fund (1147) .............................................100 10
From Compulsive Gamblers Fund (1249) .............................................................................100 11
From Health Initiatives Fund (1275) .....................................................................................100 12
From Mental Health Earnings Fund (1288) ......................................................................50,000 13
From Habilitation Center Room and Board Fund (1435) .................................................10,000 14
From Inmate Fund (1540) ......................................................................................................100 15
From Mental Health Trust Fund (1926) ............................................................................25,000 16
From DMH Local Tax Matching Fund (1930) ...............................................................150,000 17

For the transfer payment of refunds set off against debts as required by 18
Section 143.786, RSMo 19
From Debt Offset Escrow Fund (1753) ............................................................... 25,000 20
Total ..............................................................................................................................$965,500 21

Section 10.040. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury to the Mental 2
Health Trust Fund 3
From Abandoned Fund Account (1863) .......................................................................$150,000 4

Section 10.045. To the Department of Mental Health 1
For the Office of the Director 2
CCS SS SCS HCS HB 2010 5

For receipt and disbursement of don ations and gifts which may become 3
available to the Department of Mental Health during the year 4
(excluding federal grants and funds) 5
Personal Service ................................................................................................$587,347 6
Expense and Equipment ........................................................................... 925,000 7
From Mental Health Trust Fund (1926) (Not to exceed 7.50 F.T.E.) ........................$1,512,347 8

Section 10.050. To the Department of Mental Health 1
For the Office of the Director 2
For receiving and expending grants, donations, contracts, and payments 3
from private, federal, and othe r governmental agencies which 4
may become available between sessions of the General Assembly 5
provided the General Assembly shall be notified of the source of 6
any new funds and the purpose for which they shall be expended, 7
in writing, prior to the use of said funds 8
Personal Service ................................................................................................$156,157 9
Expense and Equipment ........................................................................... 1,462,390 10
From Department of Mental Health Federal Fund (1148) (Not to exceed 11
2.00 F.T.E.) ....................................................................................................$1,618,547 12

Section 10.055. To the Department of Mental Health 1
For Medicaid payments related to intergovernmental payments 2
From Department of Mental Health Federal Fund (1148) .......................................$11,900,000 3
From Mental Health Intergovernmental Transfer Fund (1147) ........................... 6,600,000 4
Total .........................................................................................................................$18,500,000 5

Section 10.060. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury to the 2
Department of Social Services Intergovernmental Transfer Fund 3
for providing the state match fo r the Department of Mental 4
Health payments 5
From General Revenue Fund (1101) .....................................................................$399,487,368 6

Section 10.065. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund to provide the state match for the 3
Department of Mental Health payments 4
From Department of Mental Health Federal Fund (1148) .....................................$322,779,896 5

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Section 10.070. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund for Di sproportionate Share Hospital 3
funds leveraged by the Department of Mental Health - Institution 4
of Mental Disease facilities 5
From Department of Mental Health Federal Fund (1148) .......................................$42,803,679 6

Section 10.075. To the Department of Mental Health 1
For the Office of the Director 2
For the Office of Disaster Services 3
For grant funding for the Crisis Counseling Program, Show Me Hope, to 4
provide services related to presidential disaster declarations 5
Personal Service (including $55,485 and 1.00 F.T.E. one-time) ......................$123,430 6
Expense and Equipment (including $1,312,374 one-time) ...................... 3,402,374 7
From Department of Mental Health Federal Fund (1148) (Not to exceed 8
2.00 F.T.E.) ....................................................................................................$3,525,804 9

Section 10.100. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the administration of statewide comprehensive psychiatric services 3
and alcohol and drug abuse prev ention and treatment programs, 4
provided three percent (3%) flex ibility is allowed from this 5
section to Section 10.575 6
Personal Service .............................................................................................$2,539,524 7
Expense and Equipment ........................................................................... 75,388 8
From General Revenue Fund (1101) ...........................................................................2,614,912 9

Personal Service ...............................................................................................1,693,360 10
Expense and Equipment ........................................................................... 1,885,784 11
From Department of Mental Health Federal Fund (1148) ...........................................3,579,144 12

Personal Service ..................................................................................................389,142 13
Expense and Equipment ........................................................................... 270 14
From Mental Health Reinvestment Fund (1352) ............................................................389,412 15

Personal Service 16
From Health Initiatives Fund (1275) ................................................................... 65,684 17
Total (Not to exceed 59.92 F.T.E.) ............................................................................$6,649,152 18

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Section 10.105. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For prevention and education servi ces, provided three percent (3%) 3
flexibility is allowed from this section to Section 10.575 4
From Department of Mental Health Federal Fund (1148) .......................................$13,729,737 5
From Health Initiatives Fund (1275) ................................................................................82,148 6
From Mental Health Earnings Fund (1288) ....................................................................475,024 7
Personal Service 8
From Mental Health Reinvestment Fund (1352) ..............................................................36,960 9

Personal Service ....................................................................................................85,730 10
Expense and Equipment ........................................................................... 1,372,959 11
From General Revenue Fund (1101) ...........................................................................1,458,689 12

Personal Service ..................................................................................................166,586 13
Expense and Equipment ........................................................................... 285,607 14
From Department of Mental Health Federal Fund (1148) ..............................................452,193 15

For enabling enforcement of th e provisions of the Family Smoking 16
Prevention and Tobacco Control Act of 2009, in collaboration 17
with the Department of Public Safety, Division of Alcohol and 18
Tobacco Control 19
Personal Service ..................................................................................................342,077 20
Expense and Equipment ........................................................................... 201,159 21
From Department of Mental Health Federal Fund (1148) ..............................................543,236 22

For youth substance use preventio n for a non-profit founded in 1958, 23
located in any city with more than four hundred thousand 24
inhabitants and located in more than one county, to reduce the 25
impact of alcohol, drugs, and addiction by providing quality 26
resources to individuals, families and the community 27
Expense and Equipment 28
From Mental Health Reinvestment Fund (1352) (one-time) ............................................30,000 29

For youth substance use prevention 30
Expense and Equipment 31
From Mental Health Reinvestment Fund (1352) (one-time) ..........................................270,000 32

For suicide prevention initiatives 33
Personal Service ....................................................................................................24,048 34
CCS SS SCS HCS HB 2010 8

Expense and Equipment ........................................................................... 829,806 35
From Department of Mental Health Federal Fund (1148) ................................... 853,854 36
Total (Not to exceed 8.84 F.T.E.) ............................................................................$17,931,841 37

Section 10.106. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For statewide acquisition, distribu tion and monitori ng of opioid 3
antagonists approved by the Food and Drug Administration, for 4
a public institution of higher educ ation in any county with more 5
than one million inhabitants founded in 1963, provided $100,000 6
be utilized for a pilot project to distribute fentanyl test strips to 7
community-based organizations 8
Expense and Equipment 9
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$5,100,000 10

For statewide acquisition, distribu tion and monitori ng of opioid 11
antagonists approved by the F ood and Drug Administration, 12
provided funds are for a public institution of higher education in 13
any county with more than one million inhabitants founded in 14
1963, to law enforcement agencies and first responders, and shall 15
be awarded through a competitive bidding process, and further 16
provided that the Department sha ll provide an annual report to 17
the House Budget and Senate A ppropriations Committee Chairs 18
and Ranking Members regarding the use and distribution of such 19
opioid antagonists 20
Expense and Equipment 21
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 5,000,000 22
Total ........................................................................................................................$10,100,000 23

Section 10.107. To the Department of Mental Health 1
For grants no less th an $250,000 distributed to Prevention Resource 2
Centers for primary care substance-use prevention 3
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000 4

Section 10.108. To the Department of Mental Health 1
For distribution to a fire department located in a city with more than one 2
hundred five thousand but fewer than one hundred twenty-five 3
thousand inhabitants that engages in partnerships between social 4
CCS SS SCS HCS HB 2010 9

work resources, mental hea lth resources, and emergency 5
responders to connect community members to essential services 6
From General Revenue Fund (1101) ............................................................................$500,000 7

Section 10.110. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Opioid Settlement Administration 3
For the reporting requirements pursuant to Section 196.1050, RSMo. 4
Personal Service ..................................................................................................$79,737 5
Expense and Equipment ........................................................................... 5,000 6
From Opioid Addiction Treatment and Recovery Fund (1705) (Not to 7
exceed 1.00 F.T.E.) .............................................................................................$84,7378

Section 10.115. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Recovery Community Centers 3
From General Revenue Fund (1101) .........................................................................$3,670,740 4
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,200,000 5
From Mental Health Reinvestment Fund (1352) ................................................. 4,681,787 6
Total ...........................................................................................................................$9,552,5277

Section 10.116. To the Department of Mental Health 1
For an Outpatient Comprehensive Substance Treatment and 2
Rehabilitation (CSTAR) Provider, located in any city not within 3
a county, with at least twenty y ears of experience and currently 4
in the process of renovating clinics, to meet increasing substance 5
use needs in the community through clinic and recovery housing 6
renovations and expanded telehealth access 7
From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$750,0008

Section 10.117. To the Department of Mental Health 1
For a non-profit organization focused on veterans' healthcare 2
headquartered in any city not within a county, working in 3
collaboration with an Outpatient Comprehensive Substance 4
Treatment and Rehabilitation (CSTAR) Provider, for the 5
renovation of facilities to expand access to mental health and 6
employment training for veterans with opi oid use disorder and 7
co-occurring substance use disorders 8
From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$250,000 9
CCS SS SCS HCS HB 2010 10

Section 10.120. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Recovery Support Services 3
Expense and Equipment 4
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,835,879 5
From Mental Health Reinvestment Fund (1352) .........................................................3,000,000 6

For Recovery Support Services with the Access to Recovery Program 7
From Department of Mental Health Federal Fund (1148) ...........................................2,598,084 8

For peer-to-peer substance use diso rder and mental health recovery 9
support services, located in any city with more than one hundred 10
sixty thousand but fewer than two hundred thousand inhabitants 11
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 100,000 12
Total ...........................................................................................................................$7,533,96313

Section 10.121. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Shelter Plus Care grants 3
Program Distribution 4
From Department of Mental Health Federal Fund (1148) .......................................$14,336,746 5

For housing assistance for homeless veterans, provided three percent 6
(3%) flexibility is allowed from this section to Section 10.575 7
Program Distribution 8
From General Revenue Fund (1101) ..............................................................................255,000 9
From Department of Mental Health Federal Fund (1148) ................................... 1,000,000 10
Total .........................................................................................................................$15,591,746 11

Section 10.122. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Housing Liaisons to provide assistance to Missourians with 3
disabilities in securing housing and receiving supportive services 4
and to serve as liaison between tenants, housing providers, and 5
the department 6
Program Distribution 7
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$2,500,000 8

CCS SS SCS HCS HB 2010 11

Section 10.123. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Community Behavioral Health Liaisons 3
Program Distribution 4
From Mental Health Reinvestment Fund (1352) .......................................................$1,450,325 5

For Youth Behavioral Health Liaisons 6
Program Distribution 7
From General Revenue Fund (1101) ..............................................................................177,275 8
From Department of Mental Health Federal Fund (1148) ..............................................564,769 9
From Title XXI Children’s Health Insurance Program Federal Fund 10
(1159) ..................................................................................................................500,000 11
From Mental Health Reinvestment Fund (1352) ................................................. 132,956 12
Total ...........................................................................................................................$2,825,325 13

Section 10.125. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Addiction Medicine Fellowships 3
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,000,000 4

Section 10.126. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For a psychology internship program 3
Personal Service (one-time) ..............................................................................$218,192 4
Expense and Equipment (one-time) ......................................................... 10,500 5
From Mental Health Earnings Fund (1288) (Not to exceed 5.60 F.T.E.) 6
(one-time) ..........................................................................................................$228,692 7

Section 10.127. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Substance Abuse Traffic Offender Program 3
Expense and Equipment 4
From Mental Health Earnings Fund (1288) ...............................................................$4,495,353 5

Section 10.130. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For comprehensive psychiatric serv ices, provided three percent (3%) 3
flexibility is allowed from this section to Section 10.575 4
Personal Service .............................................................................................$1,574,946 5
CCS SS SCS HCS HB 2010 12

Expense and Equipment ........................................................................... 16,605,748 6
From General Revenue Fund (1101) .........................................................................18,180,694 7

Personal Service ..................................................................................................494,474 8
Expense and Equipment ........................................................................... 4,548,307 9
From Department of Mental Health Federal Fund (1148) ...........................................5,042,781 10

For adult psychiatric services, provided fifteen percent (15%) flexibility 11
is allowed between subsections indicated in Sections 10.130 and 12
10.160 to allow flexibility in payment for the Certified 13
Community Behavioral Health Clinic Prospective Payment 14
System, and further provided three percent (3%) flexibility is 15
allowed from this section to Section 10.575 16
Expense and Equipment 17
From General Revenue Fund (1101) .........................................................................30,202,925 18
From Department of Mental Health Federal Fund (1148) .........................................48,024,854 19
From Title XXI Children’s Health Insurance Program Federal Fund 20
(1159) ..................................................................................................................849,315 21
From Mental Health Interagency Payments Fund (1109) ............................................1,310,572 22
From Missouri Crisis Services Fund (1344) ..............................................................18,500,000 23
From DMH Local Tax Matching Fund (1930) ............................................................2,426,903 24

For treatment of alcohol and drug abuse, provided three percent (3%) 25
flexibility is allowed from this section to Section 10.575 26
Personal Service 27
From General Revenue Fund (1101) ..............................................................................625,021 28

Personal Service ..................................................................................................275,338 29
Expense and Equipment ........................................................................... 377,058 30
From Department of Mental Health Federal Fund (1148) ..............................................652,396 31

Personal Service ..................................................................................................279,257 32
Expense and Equipment ........................................................................... 21,213 33
From Health Initiatives Fund (1275) ..............................................................................300,470 34

Personal Service 35
From Mental Health Reinvestment Fund (1352) ............................................................141,572 36

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For Federally Qualified Health Center s, located in any city with more 37
than four hundred thousand inhabitants and located in more than 38
one county, to provide mental health services 39
From General Revenue Fund (1101) ..............................................................................200,000 40

For treatment of alcohol and drug abuse, provided fifteen percent (15%) 41
flexibility is allowed between s ubsections indicated in Sections 42
10.130 and 10.160 to allow flexibility in payment for the 43
Certified Community Behavioral Health Clinic Prospective 44
Payment System, and further provided three percent (3%) 45
flexibility is allowed from this section to Section 10.575 46
From General Revenue Fund (1101) ...........................................................................8,662,074 47
From Department of Mental Health Federal Fund (1148) .........................................82,141,611 48
From Title XXI Children’s Health Insurance Program Federal Fund 49
(1159) ...............................................................................................................2,174,002 50
From Mental Health Reinvestment Fund (1352) .........................................................7,868,382 51

For treatment of alcohol and drug abuse 52
From Inmate Fund (1540) ............................................................................................3,513,779 53
From Health Initiatives Fund (1275) ...........................................................................6,084,022 54
From DMH Local Tax Matching Fund (1930) ...............................................................963,775 55
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................6,040,316 56

For treatment of compulsive gambling 57
Expense and Equipment 58
From Compulsive Gamblers Fund (1249) ......................................................................153,606 59

For youth psychiatric services, provided fifteen percent (15%) flexibility 60
is allowed between subsections indicated in Sections 10.130 and 61
10.160 to allow flexibility in payment for the Certified 62
Community Behavioral Health Clinic Prospective Payment 63
System, and further provided three percent (3%) flexibility is 64
allowed from this section to Section 10.575 65
Expense and Equipment 66
From General Revenue Fund (1101) ...........................................................................3,895,742 67
From Department of Mental Health Federal Fund (1148) ...........................................6,923,541 68
From Mental Health Interagency Payments Fund (1109) ...............................................100,000 69
From DMH Local Tax Matching Fund (1930) ............................................................1,406,879 70

CCS SS SCS HCS HB 2010 14

For the Division of Behavioral Hea lth to implement the use of EEG 71
Guided Transcranial Magnetic Stimulation (e-TMS) equipment 72
for priority populations to include veterans, law enforcement and 73
first responders 74
Expense and Equipment 75
From General Revenue Fund (1101) ...........................................................................2,117,297 76
From Department of Mental Health Federal Fund (1148) ...........................................2,117,298 77
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,000,000 78
Total (Not to exceed 50.52 F.T.E.) ........................................................................$262,619,82779

Section 10.131. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For an organization serving a city not in a county and the surrounding 3
region to support prevention of opioid overdose 4
From Opioid Addiction Treatment and Recovery Fund (1705) ................................$1,113,000 5

Section 10.135. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the MOConnect System 3
For the maintenance and operation of the crisis module 4
From General Revenue Fund (1101) ............................................................................$498,750 5

For the maintenance and operation of the referral module 6
From General Revenue Fund (1101) ................................................................... 498,750 7
Total ..............................................................................................................................$997,500 8

Section 10.140. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For reimbursing attorn eys, physicians, and c ounties for fees in 3
involuntary civil commitment procedures, provided three percent 4
(3%) flexibility is allowed from this section to Section 10.575 5
Expense and Equipment 6
From General Revenue Fund (1101) .........................................................................$1,797,441 7

Section 10.142. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For outpatient competency restorati on services authorized by Section 3
552.020, RSMo 4
Program Distribution 5
CCS SS SCS HCS HB 2010 15

From General Revenue Fund (1101) .........................................................................$2,951,964 6
From Department of Mental Health Federal Fund (1148) ................................... 3,151,674 7
Total ...........................................................................................................................$6,103,6388

Section 10.143. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For jail based or other detention fa cility-based outpatient competency 3
restoration services authorized by Section 552.020, RSMo 4
Program Distribution 5
From General Revenue Fund (1101) .........................................................................$2,000,000 6

Section 10.145. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For Forensic Mobile Teams to provide treatment to clients who are in 3
county jails awaiting court-orde red evaluations pursuant to 4
Chapter 552 RSMo and those who have been court-ordered for 5
competency restoration services in a Division of Behavioral 6
Health (DBH) inpatient facility pursuant to Chapter 552 RSMo 7
Personal Service .............................................................................................$1,669,255 8
Expense and Equipment ........................................................................... 405,333 9
From General Revenue Fund (1101) ...........................................................................2,074,588 10

For a substance abuse initiative th at focuses on providing medication 11
assisted treatment to treat substance use disorders. Eligible 12
Federally Qualified Health Cent ers shall have provided walk-in 13
medication assisted treatment services in the previous year 14
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 1,000,000 15
Total (Not to exceed 18.50 F.T.E.) ............................................................................$3,074,588 16

Section 10.150. To the Department of Mental Health 1
For engaging patients in care coor dination (EPICC) 24/7 referral and 2
linkage service for those residing in targeted regions, primarily 3
for individuals post overdose, but who also may present to 4
hospitals with issues relating to opioid, stimulant, and/or alcohol 5
use disorders to establish imme diate connections to recovery 6
support services, and substance use treatment 7
From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$500,000 8

Section 10.155. To the Department of Mental Health 1
CCS SS SCS HCS HB 2010 16

For the Division of Behavioral Health 2
For prevention, treatment, and rec overy programs at recovery high 3
schools 4
From Department of Mental Health Federal Fund (1148) .........................................$6,834,783 5
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 3,600,000 6
Total .........................................................................................................................$10,434,783 7

Section 10.160. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For treatment of alcohol and drug a buse for payment of services to 3
Certified Community Behavioral Health Organizations, provided 4
fifteen percent (15%) flexibility is allowed between subsections 5
indicated in Sections 10.130 and 10.160 to allow flexibility in 6
payment for the Certified Commun ity Behavioral Health Clinic 7
Prospective Payment System, and further provided three percent 8
(3%) flexibility is allowed from this section to Section 10.575 9
Expense and Equipment 10
From General Revenue Fund (1101) .......................................................................$25,943,592 11
From Department of Mental Health Federal Fund (1148) .........................................26,241,033 12
From Title XXI Children’s Health Insurance Program Federal Fund 13
(1159) ..................................................................................................................316,129 14
From Mental Health Reinvestment Fund (1352) .......................................................10,278,884 15

For adult psychiatric services and community programs, provided fifteen 16
percent (15%) flexibility is allowed between subsections 17
indicated in Sections 10.130 and 10.160 to allow flexibility in 18
payment for the Certified Commun ity Behavioral Health Clinic 19
Prospective Payment System, and further provided three percent 20
(3%) flexibility is allowed from this section to Section 10.575 21
Expense and Equipment 22
From General Revenue Fund (1101) .......................................................................193,911,674 23
From Department of Mental Health Federal Fund (1148) .......................................290,730,374 24
From Title XXI Children’s Health Insurance Program Federal Fund 25
(1159) ...............................................................................................................1,942,304 26
From Missouri Crisis Services Fund (1344) ..............................................................18,500,000 27
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................189,799 28

For youth psychiatric services and community programs, and further 29
provided that CPR/CCBHO serv ices for youth shall not be 30
CCS SS SCS HCS HB 2010 17

capped and Medicaid supplementa l shall be requested when 31
necessary, provided fifteen percent (15%) flexibility is allowed 32
between subsections indicated in Sections 10.130 and 10.160 to 33
allow flexibility in payment for the Certified Community 34
Behavioral Health Clinic Pr ospective Payment System, and 35
further provided three percent (3%) flexibility is allowed from 36
this section to Section 10.575 37
Expense and Equipment 38
From General Revenue Fund (1101) .........................................................................82,483,107 39
From Department of Mental Health Federal Fund (1148) .......................................149,548,953 40
From Title XXI Children’s Health Insurance Program Federal Fund 41
(1159) ....................................................................................................... 31,811,758 42
Total .......................................................................................................................$831,897,60743

Section 10.161. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Roy Blunt Behavioral Health Scholarship Program 3
From General Revenue Fund (1101) ............................................................................$250,000 4

Section 10.165. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For a universal screening program us ed to identify maternal depression 3
and related behavioral health disorders including anxiety, 4
substance use disorder and depression 5
From Department of Mental Health Federal Fund (1148) ............................................$750,000 6

Section 10.170. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For 988 Crisis Response 3
From Department of Mental Health Federal Fund (1148) .........................................$3,140,197 4
From Missouri Crisis Services Fund (1344) ........................................................ 3,857,560 5
Total ...........................................................................................................................$6,997,757 6

Section 10.175. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For administrative expenses related to the 988 Crisis Response 3
Personal Service ..................................................................................................$36,395 4
Expense and Equipment ........................................................................... 5,000 5
From Department of Mental Health Federal Fund (1148) ..............................................$41,3956
CCS SS SCS HCS HB 2010 18

Section 10.180. To the Department of Mental Health 1
For the Division of Behavioral Health 2
To pay the state operated hospital provider tax 3
Expense and Equipment 4
From General Revenue Fund (1101) .......................................................................$12,010,000 5

For funding expenses related to fl uctuating census demands, Medicare 6
bundling compliance, Medicare Pa rt D implementation, and to 7
restore facilities personal service and/or expense and equipment 8
incurred for direct care work er training and other operational 9
maintenance expenses 10
Expense and Equipment 11
From Department of Mental Health Federal Fund (1148) ...........................................4,438,909 12
From Title XXI Children’s Health Insurance Program Federal Fund 13
(1159) ....................................................................................................... 400,184 14
Total .........................................................................................................................$16,849,093 15

Section 10.250. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the State Operated Inpatient Ps ychiatric Hospitals and Treatment 3
Facilities: Fulton State Hospital, Northwest Missouri Psychiatric 4
Rehabilitation Center, Forensic Treatment Center, Southeast 5
Missouri Mental Health Center, Center for Behavioral Medicine, 6
Hawthorn Children’s Psychiatric Hospital, Southeast Missouri 7
Mental Health Center Sex Offender Rehabilitation and Treatment 8
Services, and Fulton State Hosp ital Sex Offender Rehabilitation 9
and Treatment Services, prov ided fifteen percent (15%) 10
flexibility is allowe d from this se ction to Sections 10.130 and 11
10.160 for the Purchase of Comm unity Services, including 12
transitioning clients to the co mmunity or other state-operated 13
services, and further provided te n percent (10%) flexibility is 14
allowed between personal service and expense and equipment 15
Personal Service .........................................................................................$203,340,305 16
Expense and Equipment ........................................................................... 46,689,290 17
From General Revenue Fund (1101) .......................................................................250,029,595 18

Personal Service .............................................................................................19,365,200 19
Expense and Equipment (including $10,500,000 one-time) .................... 12,369,144 20
CCS SS SCS HCS HB 2010 19

From Department of Mental Health Federal Fund (1148) .........................................31,734,344 21

Personal Service ..................................................................................................121,153 22
Expense and Equipment ........................................................................... 1,271,646 23
From Mental Health Earnings Fund (1288) .................................................................1,392,799 24

Personal Service 25
From Mental Health Trust Fund (1926) ............................................................... 97,876 26
Total (Not to exceed 3,802.46 F.T.E.) ...................................................................$283,254,61427

Section 10.400. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the division administration, provid ed three percent (3%) flexibility 3
is allowed from this section to Section 10.575 4
Personal Service .............................................................................................$1,883,186 5
Expense and Equipment ........................................................................... 52,145 6
From General Revenue Fund (1101) ...........................................................................1,935,331 7

Personal Service ..................................................................................................495,798 8
Expense and Equipment ........................................................................... 868,980 9
From Department of Mental Health Federal Fund (1148) ................................... 1,364,778 10
Total (Not to exceed 30.12 F.T.E.) ............................................................................$3,300,10911

Section 10.405. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the payment of the state operated Intermediate Care Facilities for 3
Individuals with Intellectual Disabilities (ICF/IID) provider tax 4
Expense and Equipment 5
From General Revenue Fund (1101) .........................................................................$6,902,0006

Section 10.410. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
Provided residential services for non-Medicaid eligibles shall not 3
be reduced below the prior year expenditures as long as the 4
person is evaluated to need the services, and further provided 5
thirty percent (30%) flexibility is allowed between sections 6
10.410 and 10.415 7
For community programs, includi ng long-term care transformation 8
initiatives and efforts for reimbur sement of providers based on 9
CCS SS SCS HCS HB 2010 20

integration of key identified out comes that produce value-based 10
care delivery models to improve quality and efficiency of the 11
total care delivered to individuals, 12
From General Revenue Fund (1101) .....................................................................$963,444,597 13
From Department of Mental Health Federal Fund (1148) ....................................1,722,459,298 14
From Title XXI Children’s Health Insurance Program Federal Fund 15
(1159) ...............................................................................................................5,058,440 16
From DMH Local Tax Matching Fund (1930) ............................................................1,015,000 17

For community programs, provided th ree percent (3%) flexibility is 18
allowed from this section to Section 10.575 19
Personal Service ...............................................................................................1,084,817 20
Expense and Equipment ........................................................................... 34,671 21
From General Revenue Fund (1101) ...........................................................................1,119,488 22

Personal Service ...............................................................................................1,174,385 23
Expense and Equipment ........................................................................... 179,284 24
From Department of Mental Health Federal Fund (1148) ...........................................1,353,669 25

For services for children who are clients of the Department of Social 26
Services 27
From Mental Health Interagency Payments Fund (1109) ..........................................11,591,223 28

For youth services 29
From Mental Health Interagency Payments Fund (1109) ...............................................213,832 30

For Senate Bill 40 Board Tax Funds to be used as match for Medicaid 31
initiatives for clients of the division 32
From DMH Local Tax Matching Fund (1930) .................................................... 5,889,538 33
Total (Not to exceed 27.59 F.T.E.) .....................................................................$2,712,145,08534

Section 10.412. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For Community Programs 3
For Value-Based Payments (VBP) to incentivize Medicaid providers to 4
improve outcomes for individuals in Home and Community-5
Based Services (HCBS) DD Medicaid Waivers 6
Program Distribution 7
From General Revenue Fund (1101) .........................................................................$4,963,700 8
CCS SS SCS HCS HB 2010 21

From Department of Mental Health Federal Fund (1148) ................................... 9,036,300 9
Total .........................................................................................................................$14,000,000 10

Section 10.414. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For statewide autism outreach, educ ation, and awareness programs for 3
persons with autism and their families 4
Program Distribution 5
From General Revenue Fund (1101) .......................................................................$13,131,599 6
From Department of Mental Health Federal Fund (1148) ..............................................970,423 7

For an Autism Center located in a city with more than fifty-one thousand 8
but fewer than fifty-eight thousa nd inhabitants and located in 9
more than one county 10
Program Distribution 11
From General Revenue Fund (1101) ................................................................................51,511 12

For Autism Outreach Initiatives for Children in Northeast Missouri 13
Program Distribution 14
From General Revenue Fund (1101) ................................................................................51,511 15

For Regional Autism Projects 16
Program Distribution 17
From General Revenue Fund (1101) ................................................................... 9,017,135 18
Total .........................................................................................................................$23,222,179 19

Section 10.415. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the Developmental Disabilities Health Home Program 3
For a designated provider (includi ng 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, de signed to coordinate care for 7
individuals with identified hea lth risks and chronic health 8
conditions receiving DD HCBS services, provided thirty percent 9
(30%) flexibility is allowed between sections 10.410 and 10.415, 10
provided three percent (3%) flex ibility is allowed from this 11
section to Section 10.575 12
Program Distribution 13
From General Revenue Fund (1101) .........................................................................$7,060,110 14
CCS SS SCS HCS HB 2010 22

From Department of Mental Health Federal Fund (1148) .........................................12,178,717 15
From Title XXI Children’s Health Insurance Program Federal Fund 16
(1159) ....................................................................................................... 1,121,820 17
Total .........................................................................................................................$20,360,647 18

Section 10.420. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the reimbursement of hospitals related to individuals who qualify for 3
placement and support through th e Division of Developmental 4
Disabilities who may otherwise be eligible fo r discharge but 5
cannot be discharged due to a l ack of availability within an 6
appropriate community placement. Such hospitals shall provide 7
a request for funding documenting these individuals, length of 8
stay beyond discharge, and effort to find placement. The division 9
shall on a pro-rata basis provide a per diem reimbursement on an 10
annual basis 11
From General Revenue Fund (1101) .........................................................................$3,000,000 12

Section 10.425. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For community support staff 3
Personal Service 4
From General Revenue Fund (1101) .........................................................................$4,490,956 5
From Department of Mental Health Federal Fund (1148) ................................... 8,955,829 6
Total (Not to exceed 234.38 F.T.E.) ........................................................................$13,446,785 7

Section 10.430. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For developmental disabilities services, provided ten percent (10%) 3
flexibility is allowed between personal service and expense and 4
equipment 5
Personal Service ................................................................................................$560,699 6
Expense and Equipment ........................................................................... 1,326,069 7
From Department of Mental Health Federal Fund (1148) (Not to 8
exceed 7.98 F.T.E.) ........................................................................................$1,886,768 9

Section 10.435. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury, to the 2
General Revenue Fund as a result of recovering the Intermediate 3
CCS SS SCS HCS HB 2010 23

Care Facility Intellectually Di sabled (ICF/IID) Reimbursement 4
Allowance Fund 5
From Intermediate Care Facility Intellectually Disabled Reimbursement 6
Allowance Fund (1901) .................................................................................$2,447,105 7

Funds are to be transferred out of the State Treasury, to Federal 8
Funds 9
From Intermediate Care Facility Intellectually Disabled Reimbursement 10
Allowance Fund (1901) ........................................................................... 4,454,896 11
Total ...........................................................................................................................$6,902,00112

Section 10.500. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the Central Missouri Regional Center, provided twenty-five (25%) 3
flexibility is allowed between personal service and expense and 4
equipment, and further provided te n percent (10%) flexibility is 5
allowed between sections 10.500, 10.505, 10.510, 10.515, and 6
10.520, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.575 8
Personal Service .............................................................................................$4,641,321 9
Expense and Equipment ........................................................................... 145,918 10
From General Revenue Fund (1101) ...........................................................................4,787,239 11

Personal Service ..................................................................................................723,014 12
Expense and Equipment ........................................................................... 111,063 13
From Department of Mental Health Federal Fund (1148) ................................... 834,077 14
Total (Not to exceed 98.70 F.T.E.) ............................................................................$5,621,31615

Section 10.505. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the Kansas City Regional Center, provided twenty-five percent 3
(25%) flexibility is allowed between personal service and 4
expense and equipment, and furt her provided ten percent (10%) 5
flexibility is allowed be tween sections 10.500, 10.505, 10.510, 6
10.515, and 10.520, and further provi ded three percent (3%) 7
flexibility is allowed from this section to Section 10.575 8
Personal Service .............................................................................................$4,409,346 9
Expense and Equipment ........................................................................... 209,056 10
From General Revenue Fund (1101) ...........................................................................4,618,402 11
CCS SS SCS HCS HB 2010 24

Personal Service ...............................................................................................1,369,119 12
Expense and Equipment ........................................................................... 111,945 13
From Department of Mental Health Federal Fund (1148) ................................... 1,481,064 14
Total (Not to exceed 97.74 F.T.E.) ............................................................................$6,099,466 15

Section 10.510. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the Sikeston Regional Center, provided twenty-five percent (25%) 3
flexibility is allowed between personal service and expense and 4
equipment, and further provided te n percent (10%) flexibility is 5
allowed between sections 10.500, 10.505, 10.510, 10.515, and 6
10.520, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.575 8
Personal Service .............................................................................................$2,423,346 9
Expense and Equipment ........................................................................... 106,668 10
From General Revenue Fund (1101) ...........................................................................2,530,014 11

Personal Service ..................................................................................................267,298 12
Expense and Equipment ........................................................................... 27,735 13
From Department of Mental Health Federal Fund (1148) ................................... 295,033 14
Total (Not to exceed 48.57 F.T.E.) ............................................................................$2,825,047 15

Section 10.515. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the Springfield Regional Center, provided twenty-five percent (25%) 3
flexibility is allowed between personal service and expense and 4
equipment, and further provided te n percent (10%) flexibility is 5
allowed between sections 10.500, 10.505, 10.510, 10.515, and 6
10.520, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.575 8
Personal Service .............................................................................................$2,918,871 9
Expense and Equipment ........................................................................... 137,069 10
From General Revenue Fund (1101) ...........................................................................3,055,940 11

Personal Service ..................................................................................................423,301 12
Expense and Equipment ........................................................................... 41,508 13
From Department of Mental Health Federal Fund (1148) ................................... 464,809 14
Total (Not to exceed 60.13 F.T.E.) ............................................................................$3,520,74915
CCS SS SCS HCS HB 2010 25

Section 10.520. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the St. Louis Regional Center, provided twenty-five percent (25%) 3
flexibility is allowed between personal service and expense and 4
equipment, and further provided te n percent (10%) flexibility is 5
allowed between sections 10.500, 10.505, 10.510, 10.515, and 6
10.520, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.575 8
Personal Service .............................................................................................$6,710,914 9
Expense and Equipment ........................................................................... 328,620 10
From General Revenue Fund (1101) ...........................................................................7,039,534 11

Personal Service ...............................................................................................1,190,148 12
Expense and Equipment ........................................................................... 246,273 13
From Department of Mental Health Federal Fund (1148) ................................... 1,436,421 14
Total (Not to exceed 141.00 F.T.E.) ..........................................................................$8,475,955 15

Section 10.523. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For the State-Owned and Operated Community Services and 3
Intermediate Care Facilities fo r Individuals with Intellectual 4
Disabilities (ICF/IID) Habilitation Centers: Bellefontaine, 5
Higginsville, St. Louis Developm ental Disabilities Treatment 6
Center, Southeast Missouri Resi dential Services, Northwest 7
Community Services, Southwest Community Services, and 8
Southeast Missouri Residential Se rvices, provided ten percent 9
(10%) flexibility is allowed from this section to Section 10.410 10
for the Purchase of Community Services, including transitioning 11
clients to the community or ot her state-operated services, and 12
further provided ten percent (10%) flexibility is allowed between 13
personal service and expense and equipment 14
Personal Service ...........................................................................................$52,525,032 15
Expense and Equipment ........................................................................... 3,313,324 16
From General Revenue Fund (1101) .........................................................................55,838,356 17

Personal Service .............................................................................................69,208,607 18
Expense and Equipment (including $4,500,000 one-time) ...................... 7,843,416 19
From Department of Mental Health Federal Fund (1148) .........................................77,052,023 20
CCS SS SCS HCS HB 2010 26

Expense and Equipment 21
From Habilitation Center Room and Board Fund (1435) .................................... 3,417,038 22
Total (Not to exceed 2,395.13 F.T.E.) ...................................................................$136,307,41723

Section 10.555. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
To be distributed to programs promoting basic scientific research, 3
clinic patient research, and patie nt care for tuberous sclerosis 4
complex 5
From General Revenue Fund (1101) ............................................................................$450,000 6

Section 10.575. To the Department of Mental Health 1
Funds are to be transferred ou t of the State Treasury, for the 2
payment of claims, premiums, and expenses as provided by 3
Section 105.711 through 105.726, RSMo, to the State Legal 4
Expense Fund 5
From General Revenue Fund (1101) .......................................................................................$1 6

Section 10.600. To the Department of Health and Senior Services 1
For the Office of the Director 2
For program operations and support, provided thr ee percent (3%) 3
flexibility is allowed from this section to Section 10.950 4
Personal Service ................................................................................................$351,465 5
Expense and Equipment ........................................................................... 15,326 6
From General Revenue Fund (1101) ..............................................................................366,791 7

Personal Service ..................................................................................................625,522 8
Expense and Equipment ........................................................................... 67,048 9
From Department of Health and Senior Services Federal Fund (1143) .............. 692,570 10
Total (Not to exceed 11.00 F.T.E.) ............................................................................$1,059,361 11

Section 10.605. To the Department of Health and Senior Services 1
For the Division of Administration 2
For program operations and support, provided thr ee percent (3%) 3
flexibility is allowed from this section to Section 10.950 4
Personal Service .............................................................................................$1,015,828 5
Expense and Equipment ........................................................................... 384,070 6
From General Revenue Fund (1101) ...........................................................................1,399,898 7
CCS SS SCS HCS HB 2010 27

For program operations and support 8
Personal Service ...............................................................................................3,629,358 9
Expense and Equipment ........................................................................... 1,982,510 10
From Department of Health and Senior Services Federal Fund (1143) ......................5,611,868 11

Personal Service ..................................................................................................353,200 12
Expense and Equipment ........................................................................... 199,900 13
From Missouri Public Health Services Fund (1298) ......................................................553,100 14

Personal Service ...............................................................................................1,226,238 15
Expense and Equipment ........................................................................... 2,027,134 16
From Veterans, Health, and Community Reinvestment Fund (1608) .........................3,253,372 17

Expense and Equipment 18
From Nursing Facility Quality of Care Fund (1271) ......................................................330,000 19

Expense and Equipment 20
From Mammography Fund (1293) ...................................................................................25,000 21

Expense and Equipment 22
From Department of Health and Senior Services Document Services 23
Fund (1646) ...........................................................................................................44,571 24

Expense and Equipment 25
From Department of Health Donated Fund (1658) ...........................................................30,000 26

Expense and Equipment 27
From Putative Father Registry Fund (1780) .....................................................................25,000 28

Expense and Equipment 29
From Organ Donor Program Fund (1824) ........................................................................30,000 30

Personal Service 31
From Opioid Addiction Treatment and Recovery Fund (1705) ............................................320 32

Expense and Equipment 33
From Missouri Veterans’ Health and Care Fund (1606) .............................................1,020,524 34

Expense and Equipment 35
From Health Access Incentive Fund (1276) ........................................................ 50,000 36
CCS SS SCS HCS HB 2010 28

Total (Not to exceed 100.85 F.T.E.) ........................................................................$12,373,653 37

Section 10.610. To the Department of Health and Senior Services 1
Funds are to be transferred out of the State Treasury, to the Health 2
Access Incentive Fund 3
From Health Initiatives Fund (1275) ............................................................................$916,477 4

Section 10.615. To the Department of Health and Senior Services 1
For the Division of Administration 2
For the payment of refunds set off against debts in accordance with 3
Section 143.786, RSMo 4
From Debt Offset Escrow Fund (1753) ..........................................................................$50,000 5

Section 10.620. To the Department of Health and Senior Services 1
For the Division of Administration 2
For refunds 3
From General Revenue Fund (1101) ..............................................................................$50,000 4

For refunds, provided fifty percent (50%) flexibility is allowed between 5
federal and other funds 6
From Department of Health and Senior Services Federal Fund (1143) .........................100,000 7
From Nursing Facility Quality of Care Fund (1271) ..........................................................9,240 8
From Health Access Incentive Fund (1276) .......................................................................5,000 9
From Mammography Fund (1293) .....................................................................................1,000 10
From Missouri Public Health Services Fund (1298) ........................................................39,000 11
From Endowed Care Cemetery Audit Fund (1562) ............................................................2,899 12
From Professional and Practical Nursing Student Loan and Nurse Loan 13
Repayment Fund (1565) .........................................................................................2,500 14
From Missouri Veterans’ Health and Care Fund (1606) ..................................................51,000 15
From Veterans, Health, and Community Reinvestment Fund (1608) ............................100,000 16
From Department of Health and Senior Services Document Services 17
Fund (1646) ...........................................................................................................10,000 18
From Department of Health Donated Fund (1658) ...........................................................15,133 19
From Criminal Record System Fund (1671) .........................................................................333 20
From Children’s Trust Fund (1694) ..................................................................................13,495 21
From Brain Injury Fund (1742) .............................................................................................100 22
From Organ Donor Program Fund (1824) ...............................................................................25 23
From Missouri State Coroners’ Fund (1846) ......................................................................1,200 24
From Childhood Lead Testing Fund (1899) ........................................................ 275 25
CCS SS SCS HCS HB 2010 29

Total ..............................................................................................................................$401,200 26

Section 10.625. To the Department of Health and Senior Services 1
For the Division of Administration 2
For receiving and expending grants, donations, contracts, and payments 3
from private, federal, and othe r governmental agencies which 4
may become available between sessions of the General 5
Assembly, provided the General As sembly shall be notified of 6
the source of any new funds and the purpose for which they shall 7
be expended, in writing, prior to the use of said funds 8
Personal Service ................................................................................................$130,765 9
Expense and Equipment ........................................................................... 2,000,001 10
From Department of Health and Senior Services Federal Fund (1143) ......................2,130,766 11

Personal Service ..................................................................................................120,264 12
Expense and Equipment ........................................................................... 347,596 13
From Department of Health Donated Fund (1658) .............................................. 467,860 14
Total ...........................................................................................................................$2,598,626 15

Section 10.630. To the Department of Health and Senior Services 1
Funds are to be transferred ou t of the State Treasury, in 2
accordance with Section 135.690, RSMo, to the General Revenue 3
Fund 4
From Medical Preceptor Fund (1260) ...........................................................................$200,000 5

Section 10.650. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For cancer and chronic disease contro l, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service ................................................................................................$240,922 9
Expense and Equipment ........................................................................... 75,872 10
From General Revenue Fund (1101) ..............................................................................316,794 11

Personal Service ..................................................................................................629,909 12
Expense and Equipment ........................................................................... 3,075,641 13
CCS SS SCS HCS HB 2010 30

From Department of Health and Senior Services Federal Fund (1143) ......................3,705,550 14

Personal Service ..................................................................................................153,179 15
Expense and Equipment ........................................................................... 131,887 16
From Organ Donor Program Fund (1824) ......................................................................285,066 17

Expense and Equipment 18
From Health Initiatives Fund (1275) ................................................................................26,241 19

For a grant program be nefitting people living w ith amyotrophic lateral 20
sclerosis (ALS) and providing ca se services, including respite 21
care, care coordination, and clinical support 22
From General Revenue Fund (1101) ..............................................................................250,000 23

For Community Based Navigation Services for breast cancer screening 24
and treatment provided by a statewide community based not-for-25
profit with experience supporting low to moderate income 26
individuals who are either in need of preventative screening 27
services for breast cancer detec tion and/or treatment for breast 28
cancer 29
From General Revenue Fund (1101) ..............................................................................500,000 30

For the Show Me Healthy Women program 31
Expense and Equipment 32
From General Revenue Fund (1101) ..............................................................................500,000 33

Personal Service ..................................................................................................473,898 34
Expense and Equipment ........................................................................... 1,894,453 35
From Department of Health and Senior Services Federal Fund (1143) ......................2,368,351 36

Expense and Equipment 37
From Missouri Public Health Services Fund (1298) ........................................................20,000 38

Expense and Equipment 39
From Department of Health Donated Fund (1658) .............................................. 32,548 40
Total (Not to exceed 21.06 F.T.E.) ............................................................................$8,004,550 41

Section 10.655. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
CCS SS SCS HCS HB 2010 31

For communicable disease control and prevention, provided twenty 3
percent (20%) flexibility is allowed between sections 10.650, 4
10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 5
10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, 6
and 10.735, and further provided three percent (3%) flexibility is 7
allowed from this section to Section 10.950 8
Personal Service .............................................................................................$1,220,501 9
Expense and Equipment ........................................................................... 1,658,458 10
From General Revenue Fund (1101) ...........................................................................2,878,959 11

Personal Service ...............................................................................................1,575,665 12
Expense and Equipment ........................................................................... 3,012,961 13
From Department of Health and Senior Services Federal Fund (1143) ......................4,588,626 14

Expense and Equipment 15
From Title XXI Children’s Health Insurance Program Federal Fund 16
(1159) ...............................................................................................................4,340,875 17

Expense and Equipment 18
From Health Initiatives Fund (1275) ................................................................... 121,787 19
Total (Not to exceed 40.56 F.T.E.) ..........................................................................$11,930,247 20

Section 10.660. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For community health and wellness initiatives, provided twenty percent 3
(20%) flexibility is allo wed between sections 10.650, 10.655, 4
10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 5
10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 6
10.735, and further provided seventeen percent (17%) flexibility 7
between personal service and expense and equipment within the 8
Health Initiatives Fund (1275) wi thin this section, and further 9
provided three percent (3%) flex ibility is allowed from this 10
section to Section 10.950 11
Personal Service ................................................................................................$495,661 12
Expense and Equipment ........................................................................... 20,000 13
From General Revenue Fund (1101) ..............................................................................515,661 14

Personal Service ...............................................................................................1,030,405 15
Expense and Equipment ........................................................................... 6,821,136 16
CCS SS SCS HCS HB 2010 32

From Department of Health and Senior Services Federal Fund (1143) ......................7,851,541 17

Personal Service ....................................................................................................13,630 18
Expense and Equipment ........................................................................... 2,532,897 19
From Health Initiatives Fund (1275) ...........................................................................2,546,527 20

Personal Service ..................................................................................................168,855 21
Expense and Equipment ........................................................................... 2,506,500 22
From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,675,355 23
Expense and Equipment 24
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................216,300 25

For the Adolescent Health Program 26
Personal Service 27
From General Revenue Fund (1101) ................................................................................21,228 28

Expense and Equipment 29
From Department of Health and Senior Services Federal Fund (1143) ......................1,830,000 30

Expense and Equipment 31
From Health Initiatives Fund (1275) ..................................................................................1,228 32

For statewide distribu tion of opioid antagonist s approved by the Food 33
and Drug Administration 34
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 800,000 35
Total (Not to exceed 24.16 F.T.E.) ..........................................................................$16,457,840 36

Section 10.665. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For tobacco cessation services, provided twenty percent (20%) flexibility 3
is allowed between sections 10.650, 10.655, 10.660, 10.665, 4
10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705, 5
10.710, 10.715, 10.720, 10.725, 10.730, and 10.735 6
From Department of Health and Senior Services Federal Fund (1143) .......................$100,000 7

For tobacco addiction prevention 8
Expense and Equipment 9
From Merchandising Practices Revolving Fund (1631) ...................................... 300,000 10
Total ..............................................................................................................................$400,000 11

CCS SS SCS HCS HB 2010 33

Section 10.670. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For Community and Public Health administration, provided twenty 3
percent (20%) flexibility is allowed between sections 10.650, 4
10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 5
10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, 6
and 10.735, and further provided three percent (3%) flexibility is 7
allowed from this section to Section 10.950 8
Personal Service 9
From General Revenue Fund (1101) .........................................................................$1,827,325 10

Personal Service ...............................................................................................1,216,450 11
Expense and Equipment ........................................................................... 1,474,645 12
From Department of Health and Senior Services Federal Fund (1143) ......................2,691,095 13

Personal Service ..................................................................................................100,000 14
Expense and Equipment ........................................................................... 140,000 15
From Department of Health Donated Fund (1658) .........................................................240,000 16

Personal Service 17
From Health Initiatives Fund (1275) ...........................................................................1,338,536 18

Expense and Equipment 19
From Missouri Public Health Services Fund (1298) ........................................... 59,000 20
Total (Not to exceed 62.08 F.T.E.) ............................................................................$6,155,956 21

Section 10.675. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For emergency preparedness and response, provided $1,000,000 be used 3
to assist in maintaining the Poison Control Hotline, and further 4
provided twenty percent (20%) fl exibility is allowed between 5
sections 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 6
10.685, 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 7
10.725, 10.730, and 10.735, and further provided three percent 8
(3%) flexibility is allowed from this section to Section 10.950 9
Personal Service ................................................................................................$298,422 10
Expense and Equipment ........................................................................... 1,050,000 11
From General Revenue Fund (1101) ...........................................................................1,348,422 12

CCS SS SCS HCS HB 2010 34

Personal Service ...............................................................................................2,302,169 13
Expense and Equipment ........................................................................... 9,635,701 14
From Department of Health and Senior Services Federal Fund (1143) ....................11,937,870 15

Personal Service ....................................................................................................98,589 16
Expense and Equipment ........................................................................... 24,472 17
From Missouri Public Health Services Fund (1298) ......................................................123,061 18

Personal Service ....................................................................................................88,045 19
Expense and Equipment ........................................................................... 23,785 20
From Environmental Radiation Monitoring Fund (1656) ..............................................111,830 21

Expense and Equipment 22
From Insurance Dedicated Fund (1566) .........................................................................500,000 23

For outbreak response 24
From Missouri Public Health Services Fund (1298) ........................................... 300,000 25
Total (Not to exceed 36.76 F.T.E.) ..........................................................................$14,321,183 26

Section 10.680. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For environmental public health provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service .............................................................................................$2,197,674 9
Expense and Equipment ........................................................................... 206,075 10
From General Revenue Fund (1101) ...........................................................................2,403,749 11

Personal Service ...............................................................................................2,399,047 12
Expense and Equipment ........................................................................... 3,101,278 13
From Department of Health and Senior Services Federal Fund (1143) ......................5,500,325 14

Personal Service ..................................................................................................361,920 15
Expense and Equipment ........................................................................... 560,400 16
From Child Care and Development Block Grant Federal Fund (1168) ..........................922,320 17

Personal Service ..................................................................................................467,430 18
CCS SS SCS HCS HB 2010 35

Expense and Equipment ........................................................................... 73,984 19
From Missouri Public Health Services Fund (1298) ......................................................541,414 20

Personal Service ..................................................................................................264,624 21
Expense and Equipment ........................................................................... 66,884 22
From Hazardous Waste Fund (1676) ..............................................................................331,508 23

Expense and Equipment 24
From Missouri Lead Abatement Loan Fund (1893) ..............................................................200 25

Expense and Equipment 26
From Health Initiatives Fund (1275) ................................................................... 179,986 27
Total (Not to exceed 77.23 F.T.E.) ............................................................................$9,879,502 28

Section 10.685. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For genetics and newborn health services, provided twenty percent 3
(20%) flexibility is allo wed between sections 10.650, 10.655, 4
10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 5
10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 6
10.735, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.950 8
Personal Service ................................................................................................$358,671 9
Expense and Equipment ........................................................................... 696,320 10
From General Revenue Fund (1101) ...........................................................................1,054,991 11

Personal Service ..................................................................................................555,398 12
Expense and Equipment ........................................................................... 686,585 13
From Department of Health and Senior Services Federal Fund (1143) ......................1,241,983 14

Personal Service ..................................................................................................173,323 15
Expense and Equipment ........................................................................... 1,700,062 16
From Missouri Public Health Services Fund (1298) ...................................................1,873,385 17

Expense and Equipment 18
From Health Initiatives Fund (1275) ................................................................................10,585 19

For grants for newborn safety incubators in accordance with Section 20
210.950, RSMo 21
Expense and Equipment 22
CCS SS SCS HCS HB 2010 36

From General Revenue Fund (1101) ..............................................................................250,000 23

For the SAFE-CARE Program, incl uding implementing a regionalized 24
medical response to child abuse, providing daily review of cases 25
of children less than four (4) years of age under investigation by 26
the Missouri Department of Social Services, Children's Division, 27
and to provide medical forensic s training to medical providers 28
and multi-disciplinary team members 29
From General Revenue Fund (1101) ................................................................... 250,000 30
Total (Not to exceed 14.64 F.T.E.) ............................................................................$4,680,944 31

Section 10.690. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For health informatics and epidemiology, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service 9
From General Revenue Fund (1101) .........................................................................$1,329,570 10

Personal Service ...............................................................................................2,551,228 11
Expense and Equipment ........................................................................... 3,399,209 12
From Department of Health and Senior Services Federal Fund (1143) ......................5,950,437 13

Personal Service ....................................................................................................57,865 14
Expense and Equipment ........................................................................... 5,671 15
From Temporary Assistance for Needy Families Federal Fund (1199) ...........................63,536 16

Personal Service ....................................................................................................96,077 17
Expense and Equipment ........................................................................... 68,048 18
From Department of Health and Senior Services Document Services 19
Fund (1646) .........................................................................................................164,125 20

Expense and Equipment 21
From Health Initiatives Fund (1275) ................................................................... 33,577 22
Total (Not to exceed 55.53 F.T.E.) ............................................................................$7,541,24523

CCS SS SCS HCS HB 2010 37

Section 10.691. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For the maintenance and the annual subscription to the reportable disease 3
surveillance system 4
Program Distribution 5
From Missouri Public Health Services Fund (1298) ....................................................$800,000 6

Section 10.695. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For human immunodeficiency virus, sexually transmitted infection, and 3
Hepatitis services, provided twenty percent (20%) flexibility is 4
allowed between sections 10.650, 10.655, 10.660, 10.665, 5
10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705, 6
10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and further 7
provided three percent (3%) flex ibility is allowed from this 8
section to Section 10.950 9
Personal Service ................................................................................................$255,441 10
Expense and Equipment ........................................................................... 57,500 11
From General Revenue Fund (1101) ..............................................................................312,941 12

Personal Service ...............................................................................................1,582,414 13
Expense and Equipment ........................................................................... 7,668,834 14
From Department of Health and Senior Services Federal Fund (1143) ......................9,251,248 15

Personal Service ..................................................................................................166,780 16
Expense and Equipment ........................................................................... 319,977 17
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................486,757 18

Expense and Equipment 19
From Health Initiatives Fund (1275) ................................................................................10,309 20
From General Revenue Fund (1101) ...........................................................................6,615,117 21
From Department of Health and Senior Services Federal Fund (1143) ....................65,171,601 22

For the Ryan White program, provided the eligible income requirement 23
is at or below three hundred percent (300%) of the Federal 24
Poverty Level (FPL) 25
Personal Service 26
From General Revenue Fund (1101) ..............................................................................700,782 27

Personal Service ..................................................................................................445,659 28
CCS SS SCS HCS HB 2010 38

Expense and Equipment ........................................................................... 100,166 29
From Department of Health and Senior Services Federal Fund (1143) .............. 545,825 30
Total (Not to exceed 50.55 F.T.E.) ..........................................................................$83,094,580 31

Section 10.700. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For Local Public Health Agency support, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service ................................................................................................$291,815 9
Expense and Equipment ........................................................................... 28,500 10
From General Revenue Fund (1101) ..............................................................................320,315 11

Personal Service ....................................................................................................65,472 12
Expense and Equipment ........................................................................... 82,140 13
From Department of Health and Senior Services Federal Fund (1143) .........................147,612 14

Expense and Equipment 15
From Missouri Public Health Services Fund (1298) ........................................................14,573 16

For core public health functions and related expenses 17
From General Revenue Fund (1101) ...........................................................................9,372,392 18
From Title XXI Children’s Health Insurance Program Federal Fund 19
(1159) ....................................................................................................... 8,400,000 20
Total (Not to exceed 3.41 F.T.E.) ............................................................................$18,254,892 21

Section 10.705. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For supplemental nutrition programs, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service 9
From General Revenue Fund (1101) ................................................................................$7,960 10
CCS SS SCS HCS HB 2010 39

Personal Service ...............................................................................................4,628,871 11
Expense and Equipment ........................................................................... 167,001,410 12
From Department of Health and Senior Services Federal Fund (1143) .............. 171,630,281 13
Total (Not to exceed 68.45 F.T.E.) ........................................................................$171,638,241 14

Section 10.710. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For rural health and primary care initiatives, including the Health 3
Professional Loan Repayment Program (HPLRP), provided 4
twenty percent (20%) flexibility is allowed between sections 5
10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 6
10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 7
10.730, and 10.735, and further provi ded three percent (3%) 8
flexibility is allowed from this section to Section 10.950 9
Personal Service ................................................................................................$302,998 10
Expense and Equipment ........................................................................... 1,000,000 11
From General Revenue Fund (1101) ...........................................................................1,302,998 12

Personal Service ..................................................................................................253,267 13
Expense and Equipment ........................................................................... 2,285,781 14
From Department of Health and Senior Services Federal Fund (1143) ......................2,539,048 15

Personal Service ..................................................................................................126,920 16
Expense and Equipment ........................................................................... 14,450 17
From Health Initiatives Fund (1275) ..............................................................................141,370 18

Expense and Equipment 19
From Health Access Incentive Fund (1276) ...................................................................650,000 20

Expense and Equipment 21
From Professional and Practical Nursing Student Loan and Nurse Loan 22
Repayment Fund (1565) .....................................................................................158,900 23

Expense and Equipment 24
From Department of Health Donated Fund (1658) ......................................................1,031,790 25

For the development of graduate medical education programs, including 26
but not limited to costs associat ed to creating and maintaining a 27
GME Technical Assistance Center , grants for creation of new 28
CCS SS SCS HCS HB 2010 40

programs and expansion of existi ng programs in facilities that 29
take care of underserved and ru ral communities, and grants for 30
planning and other exploratory projects that position a facility to 31
sustain or increase graduate medical education opportunities 32
From General Revenue Fund (1101) ...........................................................................2,501,120 33

For graduate medical program grants for specialty areas which provide 34
specific training for physicians to prevent, diagnose, and manage 35
substance use disorder/opioid us e disorder, and for associated 36
costs to support technical assistance, new and expanded GME 37
programs, expansion of reside ncy slots within an existing 38
program, and funding for planning or other exploratory projects 39
that position the state to increa se graduate medical education 40
opportunities 41
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................5,000,000 42

Funds are to be transferred out of the State Treasury to the State 43
Board of Nursing Fund 44
From Professional and Practical Nursing Student Loan and Nurse Loan 45
Repayment Fund (1565) .......................................................................... 100,000 46
Total (Not to exceed 8.06 F.T.E.) ............................................................................$13,425,226 47

Section 10.715. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For oral health services and initia tives, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
Personal Service 9
From General Revenue Fund (1101) ..............................................................................$99,214 10

Personal Service ..................................................................................................591,922 11
Expense and Equipment ........................................................................... 837,740 12
From Department of Health and Senior Services Federal Fund (1143) ......................1,429,662 13

Personal Service 14
From Health Initiatives Fund (1275) ..................................................................................3,687 15
CCS SS SCS HCS HB 2010 41

Expense and Equipment 16
From Department of Health Donated Fund (1658) .........................................................655,000 17

For the Elks Mobile Dental Clinic 18
Expense and Equipment 19
From General Revenue Fund (1101) ..............................................................................350,000 20

For the Missouri Donated Dental Services Program 21
Expense and Equipment 22
From General Revenue Fund (1101) ................................................................... 180,000 23
Total (Not to exceed 9.43 F.T.E.) ..............................................................................$2,717,563 24

Section 10.720. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For minority health initiatives, provided twenty percent (20%) flexibility 3
is allowed between sections 10.650, 10.655, 10.660, 10.665, 4
10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705, 5
10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and further 6
provided three percent (3%) flex ibility is allowed from this 7
section to Section 10.950 8
Personal Service ................................................................................................$230,997 9
Expense and Equipment ........................................................................... 181,121 10
From General Revenue Fund (1101) ..............................................................................412,118 11

Personal Service 12
From Department of Health and Senior Services Federal Fund (1143) .............. 39,128 13
Total (Not to exceed 3.98 F.T.E.) .................................................................................$451,246 14

Section 10.725. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For women's health and wellness programs and services, provided 3
twenty percent (20%) flexibility is allowed between sections 4
10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 5
10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 6
10.730, and 10.735, and further provi ded three percent (3%) 7
flexibility is allowed from this section to Section 10.950 8
Personal Service ................................................................................................$166,357 9
Expense and Equipment ........................................................................... 5,400 10
CCS SS SCS HCS HB 2010 42

From General Revenue Fund (1101) ..............................................................................171,757 11

Personal Service ...............................................................................................1,089,603 12
Expense and Equipment ........................................................................... 6,290,575 13
From Department of Health and Senior Services Federal Fund (1143) ......................7,380,178 14

Personal Service ..................................................................................................112,088 15
Expense and Equipment ........................................................................... 4,563,582 16
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................4,675,670 17

Expense and Equipment 18
From Health Initiatives Fund (1275) ..................................................................................4,916 19

Expense and Equipment 20
From Justice for Survivors Telehealth Network Fund (1228) ........................................100,000 21

For a statewide telehealth network fo r forensic examinations of victims 22
of sexual offenses 23
Expense and Equipment 24
From General Revenue Fund (1101) ...........................................................................2,058,612 25

For contracts for Sexual Violence Victims Services, Awareness, and 26
Education Program 27
Expense and Equipment 28
From Department of Health and Senior Services Federal Fund 29
(1143) ...............................................................................................................1,287,134 30

For the development and implemen tation of initiatives to reduce 31
maternal mortality, including maternal quality control protocols, 32
a perinatal health access collabor ative, maternal care provider 33
trainings, postpartum plans of care best practices, and a state 34
maternal and child health dashboard 35
Expense and Equipment 36
From General Revenue Fund (1101) ................................................................... 2,175,000 37
Total (Not to exceed 20.51 F.T.E.) ..........................................................................$17,853,26738

Section 10.730. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
CCS SS SCS HCS HB 2010 43

For fetal infant mortality review services, provided twenty percent (20%) 3
flexibility is allowed be tween sections 10.650, 10.655, 10.660, 4
10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 5
10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and 6
further provided three percent (3%) flexibility is allowed from 7
this section to Section 10.950 8
From General Revenue Fund (1101) ............................................................................$960,000 9

For a non-governmental, previously es tablished local FIMR team in a 10
city with more than four hundred thousand inhabitants and 11
located in more than one county will be allowed to operate 12
independently of the state program with a separate IRB to review 13
select zip codes in a city with more than four hundred thousand 14
inhabitants and located in more th an one county, but will utilize 15
standards and methods of review established by the Department, 16
coordinate with the state FI MR Program and regional FIMR 17
teams, and submit all outcomes, findings and data for their areas 18
of purview to the state program 19
Expense and Equipment 20
From General Revenue Fund (1101) (one-time) ................................................. 40,000 21
Total ...........................................................................................................................$1,000,00022

Section 10.735. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
For vital records certification and issuance, provided twenty percent 3
(20%) flexibility is allo wed between sections 10.650, 10.655, 4
10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 5
10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 6
10.735, and further provided three percent (3%) fl exibility is 7
allowed from this section to Section 10.950 8
Personal Service .............................................................................................$1,387,744 9
Expense and Equipment ........................................................................... 56,720 10
From General Revenue Fund (1101) ...........................................................................1,444,464 11

Personal Service ..................................................................................................162,709 12
Expense and Equipment ........................................................................... 787,754 13
From Department of Health and Senior Services Federal Fund (1143) .........................950,463 14

Personal Service ..................................................................................................130,693 15
CCS SS SCS HCS HB 2010 44

Expense and Equipment ........................................................................... 25,724 16
From Missouri Public Health Services Fund (1298) ......................................................156,417 17

Personal Service ..................................................................................................110,956 18
Expense and Equipment ........................................................................... 27,748 19
From Putative Father Registry Fund (1780) ...................................................................138,704 20

Expense and Equipment 21
From Health Initiatives Fund (1275) ................................................................................11,371 22

For the finalization of updates to th e Department of Health and Senior 23
Services Vital Records System, including necessary 24
infrastructure, security enhancements, and staff training 25
From Missouri Public Health Services Fund (1298) ...................................................1,763,000 26

For coroner trainings provided by th e Missouri Coroners' and Medical 27
Examiners' Association 28
From Missouri State Coroners’ Fund (1846) ....................................................... 355,482 29
Total (Not to exceed 28.94 F.T.E.) ............................................................................$4,819,90130

Section 10.740. To the Department of Health and Senior Services 1
For the Division of Community and Public Health 2
To address coronavirus preparedness and response, provided ten 3
percent (10%) flexibility is allowed between American Rescue 4
Plan Act of 2021 grant programs in this section 5
Expense and Equipment 6
From Department of Health and Senior Services Federal Stimulus – 7
2021 Fund (2457) ..............................................................................................$360,783 8

To provide coronavirus mitiga tion efforts, in cluding, but not 9
limited to, testing, tracing, re porting, and related expenses, 10
provided ten percent (10%) flex ibility is allowed between 11
American Rescue Plan Act of 2021 grant programs in this section 12
Personal Service ...............................................................................................3,000,000 13
Expense and Equipment ........................................................................... 48,309,435 14
From Department of Health and Senior Services Federal Stimulus Fund 15
(2350) .............................................................................................................51,309,435 16

CCS SS SCS HCS HB 2010 45

For Epidemiology Laboratory Capacity – Advanced Molecular 17
Detection – Public Health La b Preparedness, provided ten 18
percent (10%) flexibility is allowed between American Rescue 19
Plan Act of 2021 grant programs in this section 20
From Department of Health and Senior Services Federal Stimulus – 21
2021 Fund (2457) .............................................................................................4,634,965 22

For Strengthening Healthcare Associ ated Infections and Antibiotic 23
Resistance Program Capacity, provided ten percent (10%) 24
flexibility is allowed between American Rescue Plan Act of 2021 25
grant programs in this section 26
Personal Service ...............................................................................................1,010,359 27
Expense and Equipment ........................................................................... 2,685,803 28
From Department of Health and Senior Services Federal Stimulus – 29
2021 Fund (2457) .............................................................................................3,696,162 30

To provide COVID-19 mitigation and prevention efforts, 31
including, but not limited to, testing, vaccinations, reporting, and 32
public health workforce enhanc ement, provided ten percent 33
(10%) flexibility is allowed between American Rescue Plan Act 34
of 2021 grant programs in this section 35
Personal Service ...............................................................................................1,816,452 36
Expense and Equipment ........................................................................... 35,433,359 37
From Department of Health and Senior Services Federal Stimulus – 38
2021 Fund (2457) ...........................................................................................37,249,811 39

For the Disease Intervention Specialist Program to prevent the spread of 40
COVID-19 and other infectious diseases among vulnerable 41
communities, provided ten percent (10%) flexibility is allowed 42
between American Rescue Plan Act of 2021 grant programs in 43
this section 44
Personal Service ..................................................................................................156,673 45
Expense and Equipment ........................................................................... 2,697,407 46
From Department of Health and Senior Services Federal Stimulus – 47
2021 Fund (2457) ..................................................................................... 2,854,080 48
Total (Not to exceed 26.00 F.T.E.) ........................................................................$100,105,23649

Section 10.750. To the Department of Health and Senior Services 1
For the State Public Health Laboratory, 2
CCS SS SCS HCS HB 2010 46

including providing newborn scre ening services on weekends 3
and holidays, provided three percen t (3%) flexibility is allowed 4
from this section to Section 10.950 5
Personal Service .............................................................................................$2,577,649 6
Expense and Equipment ........................................................................... 1,137,683 7
From General Revenue Fund (1101) ...........................................................................3,715,332 8

Personal Service ...............................................................................................1,262,010 9
Expense and Equipment ........................................................................... 2,298,268 10
From Department of Health and Senior Services Federal Fund (1143) ......................3,560,278 11

Personal Service ...............................................................................................2,077,479 12
Expense and Equipment ........................................................................... 6,494,336 13
From Missouri Public Health Services Fund (1298) ...................................................8,571,815 14

Personal Service ..................................................................................................521,744 15
Expense and Equipment ........................................................................... 1,968,131 16
From Veterans, Health, and Community Reinvestment Fund (1608) .........................2,489,875 17

Personal Service ..................................................................................................158,666 18
Expense and Equipment ........................................................................... 562,586 19
From Safe Drinking Water Fund (1679) .........................................................................721,252 20

Personal Service ....................................................................................................56,057 21
Expense and Equipment ........................................................................... 239,452 22
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................295,509 23

Expense and Equipment 24
From Childhood Lead Testing Fund (1899) ........................................................ 65,017 25
Total (Not to exceed 109.78 F.T.E.) ........................................................................$19,419,07826

Section 10.800. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For program operations and support, provided thr ee percent (3%) 3
flexibility is allowed from this section to Section 10.950 4
Personal Service ...........................................................................................$15,379,274 5
Expense and Equipment ........................................................................... 1,333,490 6
From General Revenue Fund (1101) .........................................................................16,712,764 7

Personal Service .............................................................................................16,431,266 8
CCS SS SCS HCS HB 2010 47

Expense and Equipment ........................................................................... 1,621,325 9
From Department of Health and Senior Services Federal Fund (1143) ....................18,052,591 10

For Medicaid Home and Communi ty-Based Services Program 11
reassessments, provided three percent (3%) flexibility is allowed 12
from this section to Section 10.950 13
Personal Service ..................................................................................................943,724 14
Expense and Equipment ........................................................................... 866,186 15
From General Revenue Fund (1101) ...........................................................................1,809,910 16
Personal Service ..................................................................................................943,723 17
Expense and Equipment ........................................................................... 866,186 18
From Department of Health and Senior Services Federal Fund (1143) ......................1,809,909 19

Expense and Equipment 20
From Health Initiatives Fund (1275) ................................................................... 31,150 21
Total (Not to exceed 624.19 F.T.E.) ........................................................................$38,416,324 22

Section 10.805. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For non-Medicaid reimbursable senior and disability programs, provided 3
three percent (3%) flexibility is allowed from this section to 4
Section 10.950 5
Expense and Equipment 6
From General Revenue Fund (1101) ............................................................................$555,005 7
From Department of Health and Senior Services Federal Fund (1143) ......................2,924,500 8

For special health care needs progr ams, provided three percent (3%) 9
flexibility is allowed from this section to Section 10.950 10
Expense and Equipment 11
From General Revenue Fund (1101) ...........................................................................1,834,778 12
From Department of Health and Senior Services Federal Fund (1143) ......................1,145,238 13
From Brain Injury Fund (1742) ......................................................................................974,900 14
From C & M Smith Memorial Endowment Trust Fund (1873) ........................................10,000 15
From Children’s Special Health Care Needs Service Fund (1950) ..................... 5,000 16
Total ...........................................................................................................................$7,449,421 17

Section 10.810. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
CCS SS SCS HCS HB 2010 48

For providing consumer directed pe rsonal care assistance services at a 3
rate not to exceed sixty percen t (60%) of the average monthly 4
Medicaid cost of nursing facility care, includi ng payments to 5
providers for value-based payment initiatives, provided ten 6
percent (10%) flexibility is a llowed between this section and 7
Section 10.815 to allow flexibility within the Medicaid Home and 8
Community-Based Services Program 9
Expense and Equipment 10
From General Revenue Fund (1101) .....................................................................$256,841,615 11
From Department of Health and Senior Services Federal Fund (1143) .............. 466,816,847 12
Total .......................................................................................................................$723,658,462 13

Section 10.815. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For respite care, homemaker chore, personal care, assistive technology, 3
adult day care, AIDS, children's waiver services, home-delivered 4
meals, Programs of All Inclusive Care for the Elderly, the 5
Structured Family Caregiver Waiver, Brain Injury Waiver, other 6
related services, and program ma nagement under the Medicaid 7
fee-for-service and managed care programs, including payments 8
to providers for value-based pa yment initiatives, provided that 9
individuals eligible for or rece iving nursing home care must be 10
given the opportunity to have those Medicaid dollars follow them 11
to the community to the extent necessary to meet their unmet 12
needs as determined by 19 CSR 30 81.030 and further be allowed 13
to choose the personal care program option, including the option 14
of assistive technology, in the community that best meets the 15
individuals' unmet needs, provide d ten percent (10%) flexibility 16
is allowed between this sect ion and Section 10.810 to allow 17
flexibility within the Medica id Home and Community Based 18
Services Program, and further provided that individuals eligible 19
for the Medicaid Personal Care Option must be allowed to 20
choose, from among all the prog ram options, that option which 21
best meets their unmet needs as determined by 19 CSR 30 22
81.030; and also be allowed to have their Medicaid funds follow 23
them to the extent necessary to meet their unmet needs whichever 24
option they choose. This language does not create any 25
entitlements not established by statute 26
Expense and Equipment 27
CCS SS SCS HCS HB 2010 49

From General Revenue Fund (1101) .....................................................................$241,403,940 28
From Department of Health and Senior Services Federal Fund (1143) .............. 441,206,018 29
Total .......................................................................................................................$682,609,958 30

Section 10.816. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For the purposes of funding a family complex care assistant program 3
under which a parent, guardian, family member, and any other 4
individual with a close associatio n that is the equivalent of a 5
family relationship of an enro llee in Medicaid approved by the 6
enrollee's parent or guardian may be employed by a private duty 7
nursing agency as a Complex Care Assistant (CCA) and, under 8
the direction of a Registered Nurse, to provide CCA services to 9
the enrollee 10
From General Revenue Fund (1101) .........................................................................$3,800,000 11
From Department of Health and Senior Services Federal Fund (1143) .............. 7,200,000 12
Total .........................................................................................................................$11,000,00013

Section 10.820. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
Funds are to be transferred out of the State Treasury to the Senior 3
Services Growth and Development Program Fund 4
From General Revenue Fund (1101) .........................................................................$8,494,746 5

Section 10.825. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For Home and Community Services gran ts to be distributed to the Area 3
Agencies on Aging, provided ten percent (10%) fl exibility is 4
allowed from these services to meal services, and further 5
provided three percent (3%) flex ibility is allowed from this 6
section to Section 10.950 7
From General Revenue Fund (1101) .........................................................................$2,074,704 8
From Department of Health and Senior Services Federal Fund (1143) ....................37,244,641 9

For distributions to the Area Agencies on Aging, in accordance with 10
Section 192.385, RSMo, which requir es the deposit of a portion 11
of the premium tax collect ed under Sections 148.320 and 12
148.370, RSMo, to the Senior Services Growth and Development 13
Program Fund 14
CCS SS SCS HCS HB 2010 50

From Senior Services Growth and Development Program Fund (1419) ...................19,530,621 15

For meals to be distributed to each Area Agency on Aging, provided that 16
at least $500,000 of general reve nue be used for non-Medicaid 17
meals to be distributed to each Area Agency on Aging in 18
proportion to the actual number of meals served during the 19
preceding fiscal year, provided ten percent (10%) flexibility is 20
allowed between these services and grant services, and further 21
provided three percent (3%) flex ibility is allowed from this 22
section to Section 10.950 23
Expense and Equipment 24
From General Revenue Fund (1101) .........................................................................14,898,003 25
From Department of Health and Senior Services Federal Fund (1143) ....................21,618,454 26
From Elderly Home-Delivered Meals Trust Fund (1296) ................................................62,958 27

For the Ombudsman Program operated by the Area Agencies on Aging 28
or their service providers 29
Expense and Equipment 30
From General Revenue Fund (1101) ................................................................... 150,000 31
Total .........................................................................................................................$95,579,381 32

Section 10.830. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For Alzheimer’s program grants to be used by organizations serving 3
individuals with Alzheimer’s disease and their caregivers as well 4
as providing statewide respite assistance and support programs to 5
Missouri families to ease burden, enhance quality of life, and 6
reduce the number of persons with Alzheimer’s disease who are 7
prematurely or unnecessarily institutionalized, provided three 8
percent (3%) flexibility is allowe d from this section to Section 9
10.950 10
From General Revenue Fund (1101) ............................................................................$550,000 11

For caregiver training programs which include in-home visits that delay 12
the institutionalization of persons with dementia 13
From General Revenue Fund (1101) ................................................................... 650,000 14
Total ...........................................................................................................................$1,200,000 15

Section 10.835. To the Department of Health and Senior Services 1
CCS SS SCS HCS HB 2010 51

For the Division of Senior and Disability Services 2
For senior independent living progr ams that support seniors aging in 3
place in communities with a high c oncentration of older adults, 4
provided three percent (3%) flex ibility is allowed from this 5
section to Section 10.950 6
From General Revenue Fund (1101) ............................................................................$200,000 7

Section 10.840. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For providing naturalization assist ance to refugees and/or legal 3
immigrants who: have resided in Missouri more than five years, 4
are unable to benefit or attend classroom instruction, and who 5
require special assistance to successfully attain the requirements 6
to become a citizen. Services may include direct tutoring, 7
assistance with identifying and completing appropriate waiver 8
requests to the Immigration a nd Customs Enforcement agency, 9
and facilitating proper documen tation. The department shall 10
award a contract under this sec tion to a qualified not-for-profit 11
organization which can demonstrate its ability to work with this 12
population. A report shall be compiled for the General Assembly 13
evaluating the program’s effectiveness in helping senior refugees 14
and immigrants in establishing ci tizenship and their ability to 15
qualify individuals for Medicare 16
From General Revenue Fund (1101) ............................................................................$200,000 17

Section 10.900. To the Department of Health and Senior Services 1
For the Division of Regulation and Licensure 2
For program operations and support, provided thr ee percent (3%) 3
flexibility is allowed from this section to Section 10.950 4
Personal Service ...........................................................................................$13,646,271 5
Expense and Equipment ........................................................................... 1,167,707 6
From General Revenue Fund (1101) .........................................................................14,813,978 7

Personal Service .............................................................................................13,989,032 8
Expense and Equipment ........................................................................... 1,423,811 9
From Department of Health and Senior Services Federal Fund (1143) ....................15,412,843 10

Personal Service ...............................................................................................1,422,531 11
Expense and Equipment ........................................................................... 286,589 12
CCS SS SCS HCS HB 2010 52

From Nursing Facility Quality of Care Fund (1271) ...................................................1,709,120 13

Personal Service ....................................................................................................87,497 14
Expense and Equipment ........................................................................... 13,121 15
From Mammography Fund (1293) .................................................................................100,618 16

For nursing home quality initiatives 17
Expense and Equipment 18
From Nursing Facility Reimbursement Allowance Fund (1196) ...................................725,000 19

For the Bureau of Narcotics and Dangerous Drugs operations and 20
support 21
Personal Service ....................................................................................................15,920 22
Expense and Equipment ........................................................................... 4,115 23
From General Revenue Fund (1101) ................................................................................20,035 24

Personal Service ..................................................................................................100,580 25
Expense and Equipment ........................................................................... 11,192 26
From Health Access Incentive Fund (1276) ...................................................................111,772 27

Personal Service 28
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................303,472 29

For activities and equipment that further promote Cardiac Emergency 30
Plan preparedness, but not limite d to the purchase of AEDs and 31
AED maintenance, the purchase of CPR training kits or CPR 32
training of faculty and staff, basic first aid training and 33
educational materials 34
From Budget Stabilization Fund (1522) ......................................................................2,000,000 35

For the Bureau of Narcotics and Dangerous Drugs for a Physician 36
Prescription Monitoring Program 37
Personal Service ..................................................................................................170,488 38
Expense and Equipment ........................................................................... 69,116 39
From General Revenue Fund (1101) ..............................................................................239,604 40

Personal Service 41
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................120,128 42

CCS SS SCS HCS HB 2010 53

For expending Civil Monetary Pena lty funding on federally approved 43
nursing facility activities and projects 44
Expense and Equipment 45
From Nursing Facility Quality of Care Fund (1271) ...................................................4,000,000 46

For the Time Critical Diagnosis Unit 47
Personal Service ..................................................................................................464,203 48
Expense and Equipment ........................................................................... 356,857 49
From General Revenue Fund (1101) ................................................................... 821,060 50
Total (Not to exceed 390.78 F.T.E.) ........................................................................$40,377,630 51

Section 10.901. To the Department of Health and Senior Services 1
For the Division of Regulation and Licensure 2
For the Nursing Home Staffing Campai gn (NHSC) in partnership with 3
the Centers for Medicare and Me dicaid (CMS) to increase the 4
number of nurses working in nursing homes 5
Program Distribution 6
From Nursing Facility Quality of Care Fund (1271) (one-time) ...............................$2,649,4597

Section 10.902. To the Department of Health and Senior Services 1
For the Division of Regulation and Licensure 2
For the design, plan, testing, and implementation of a new database 3
Expense and Equipment 4
From Opioid Addiction Treatment and Recovery Fund (1705) 5
(one-time) .......................................................................................................$1,700,0006
Section 10.905. To the Department of Health and Senior Services 1
For the Division of Regulation and Licensure 2
For the Quality Improvement Program for Missouri (QIPMO) to provide 3
technical assistance to nursing ho mes, provided three percent 4
(3%) flexibility is allowed from this section to Section 10.950 5
From Nursing Facility Reimbursement Allowance Fund (1196) ..............................$1,209,926 6

Section 10.910. To the Department of Health and Senior Services 1
For the Division of Cannabis Regulation 2
For medical marijuana program oper ations and support, provided ten 3
percent (10%) flexibility is allowed between personal service and 4
expense and equipment 5
Personal Service .............................................................................................$1,881,115 6
CCS SS SCS HCS HB 2010 54

Expense and Equipment ........................................................................... 3,167,458 7
From Missouri Veterans’ Health and Care Fund (1606) .............................................5,048,573 8

For adult use cannabis program oper ations and support, provided ten 9
percent (10%) flexibility is allowed between personal service and 10
expense and equipment 11
Personal Service ...............................................................................................9,171,823 12
Expense and Equipment ........................................................................... 5,568,740 13
From Veterans, Health, and Community Reinvestment Fund (1608) .......................14,740,563 14

For grants to agencies and not -for-profit organizations, whether 15
government or community-based, to increase access to evidence 16
based low-barrier drug addi ction treatment, prioritizing 17
medically proven treatment and overdose prevention and reversal 18
methods and public or private treatment options with an emphasis 19
on reintegrating recipients into their local communities; to 20
support overdose prevention education; and to support job 21
placement, housing, and counseling for those with substance use 22
disorders. When evaluating grant applications, agencies and 23
organizations serving populations w ith the highest rates of drug 24
related overdose shall be prioritized to receive the grants 25
From Health Reinvestment Fund (1640) ............................................................. 3,870,000 26
Total (Not to exceed 155.50 F.T.E.) ........................................................................$23,659,136 27

Section 10.915. To the Department of Health and Senior Services 1
For a grant to the Department of Mental Health 2
Funds are to be transferred out of the State Treasury for substance 3
abuse disorder treatment and education programs as provided by 4
Article XIV, Section 2 of the Missouri Constitution, to the Mental 5
Health Reinvestment Fund, provided the state treasurer shall 6
invest monies in the fund in th e same manner as other funds are 7
invested, and any interest and monies earned on such investments 8
shall be deposited to the cr edit of the Mental Health 9
Reinvestment Fund, and furthe r provided that any monies 10
remaining in the Mental Health Reinvestment Fund at the end of 11
the biennium shall not revert to the credit of the General Revenue 12
Fund 13
From Health Reinvestment Fund (1640) (including $300,000 one-time) ...............$28,508,596 14

CCS SS SCS HCS HB 2010 55

Section 10.920. To the Department of Health and Senior Services 1
For a grant to the Department of Corrections 2
Funds are to be transferred out of the State Treasury for substance 3
abuse disorder treatment and education programs as provided by 4
Article XIV, Section 2 of th e Missouri Constitution, to the 5
Corrections Reinvestment Fund, provided the state treasurer shall 6
invest monies in the fund in th e same manner as other funds are 7
invested, and any interest and monies earned on such investments 8
shall be deposited to the credit of the Corrections Reinvestment 9
Fund, and further provided that any monies rema ining in the 10
Corrections Reinvestment Fund at the end of the biennium shall 11
not revert to the credit of the General Revenue Fund 12
From Health Reinvestment Fund (1640) ...................................................................$1,803,929 13

Section 10.925. To the Department of Health and Senior Services 1
Funds are to be transferred out of the State Treasury for health 2
and care services for military ve terans as provided by Article 3
XIV, Section 1 of the Missouri Constitution, to the Missouri 4
Veterans' Homes Fund, and furt her provided that any monies 5
remaining in the fund at the end of a biennium shall not revert to 6
the credit of the General Revenue Fund 7
From Missouri Veterans’ Health and Care Fund (1606) .........................................$13,000,000 8

Section 10.930. To the Department of Health and Senior Services 1
Funds are to be transferred out of the State Treasury for substance 2
abuse disorder treatment and education programs as provided by 3
Article XIV, Section 2 of the Missouri Constitution, to the Health 4
Reinvestment Fund, provided the state treasurer shall invest 5
monies in the fund in the same manner as other funds are 6
invested, and any interest and monies earned on such investments 7
shall be deposited to the credit of the Health Reinvestment Fund, 8
and further provided that any m onies remaining in the Health 9
Reinvestment Fund at the end of the biennium shall not revert to 10
the credit of the General Revenue Fund 11
From Veterans, Health, and Community Reinvestment Fund (1608) 12
(including $20,018,276 one-time) ................................................................$40,018,276 13

CCS SS SCS HCS HB 2010 56

Funds are to be transferred out of the State Treasury for public 14
defenders as provided by Article XIV, Section 2 of the Missouri 15
Constitution, to the Public Defender Reinvestment Fund, 16
provided the state treasurer shall invest monies in the fund in the 17
same manner as other funds are invested, and any interest and 18
monies earned on such investments shall be deposited to the 19
credit of the Public Defender Reinvestment Fund, and further 20
provided that any monies remaining in the Public Defender 21
Reinvestment Fund at the end of the biennium shall not revert to 22
the credit of the General Revenue Fund 23
From Veterans, Health, and Community Reinvestment Fund (1608) 24
(including $31,700,260 one-time) ..................................................................51,700,260 25

Funds are to be transferred out of the State Treasury for health 26
and care services for military ve terans as provided by Article 27
XIV, Section 2 of the Missouri Constitution, to the Missouri 28
Veterans’ Homes Fund, provided the state treasurer shall invest 29
monies in the fund in the same manner as other funds are 30
invested, and any interest and monies earned on such investments 31
shall be deposited to the credit of the Missouri Veterans’ Homes 32
Fund, and further provided that any monies rema ining in the 33
Missouri Veterans’ Homes Fund at the end of the biennium shall 34
not revert to the credit of the General Revenue Fund 35
From Veterans, Health, and Community Reinvestment Fund (1608) 36
(including $20,018,276 one-time) ............................................................ 40,018,276 37
Total .......................................................................................................................$131,736,812 38

Section 10.950. To the Department of Health and Senior Services 1
Funds are to be transferred out of the State Treasury for the 2
payment of claims, premiums, and expenses as provided by 3
Section 105.711 through 105.726, RSMo, to the State Legal 4
Expense Fund 5
From General Revenue Fund (1101) .......................................................................................$1 6

PART 2

Section 10.2005. To the Department of Mental Health 1
In reference to Sections 10.105, 10.115, 10.130, 10.142, 10.143, 2
and 10.160 of Part 1 of this act: 3
CCS SS SCS HCS HB 2010 57

No funds shall be expended in furtherance of provider rates 4
greater than the rate in effect on Janua ry 1, 2026, with the 5
exception of providers of children’s residential services classified 6
as an Institution of Mental Dise ase (IMD) Qualified Residential 7
Treatment Program (QRTP) or as a non-IMD QRTP, for which 8
no funds shall be expended in fu rtherance of rates greater than: 9
$194.47 per day for Level II, $239.16 per day for Level III, 10
$253.80 per day for Level IV; and further excepting provider 11
rates for outpatient competency restoration services, for which no 12
funds shall be expended in furtherance of rates greater than those 13
based on actuarially sound PPS rates, and further excepting the 14
jail based and other detentio n facility based outpatient 15
competency restoration rates, for which no funds shall be 16
expended in furtherance of greater than $90 per bed day. 17

Section 10.2010. To the Department of Mental Health 1
In reference to Sections 10.115 and 10.120 of Part 1 of this act: 2
No funds shall be expended in furtherance of provider rates 3
greater than the rate in effect on Janua ry 1, 2025, with the 4
exception of Recovery Support Services, for which no funds shall 5
be expended in furtherance of rates greater than: $34.46 for 6
Individual Counseling, $44.57 for Recovery Housing, $12.60 for 7
Care Coordination, $22.15 for Peer Support, and $4.08 for Group 8
Rehabilitative Support. 9

Section 10.2015. To the Department of Mental Health 1
In reference to Section 10.410 of Part 1 of this act: 2
No funds shall be expended in furtherance of waiver slots 3
assigned on July 1, 2026 except for: 50 additional waiver slots 4
for Crisis Residential Services, 27 additional slots for individuals 5
transitioning from Nursing Ho mes, 39 additional slots for 6
children transitioning from DSS Children's Division funded 7
waiver slots, and 11 additional waiver slots for children 8
transitioning out of the MoCDD Waiver. 9

Section 10.2020. To the Department of Mental Health 1
In reference to Section 10.410 of Part 1 of this act: 2
No funds shall be expended in furtherance of provider rates 3
greater than the rate in effe ct on January 1, 2026, and further 4
CCS SS SCS HCS HB 2010 58

excepting rates for day habilitati on services, for which no funds 5
shall be expended in furtherance of rates greater than: $10.81 per 6
15 minute unit/$43.24 per hour for day habitation, $12.30 per 15 7
minute unit/$49.20 per hour for day habilitation behavior, and 8
$12.14 per 15 minute unit/$48.56 per hour for day habilitation 9
medical; and further excepting rates for self-directed services, for 10
which no funds shall be expended in furtherance of rates greater 11
than: $8.25 per 15 minute unit/$ 33.00 per hour for personal 12
assistant, $9.19 per 15 minute unit/$36.76 per hour for personal 13
assistant-medical exception, and $8.25 per 15 minute unit/$33.00 14
per hour for personal assistant scheduled team conference. 15

Section 10.2025. To the Department of Mental Health 1
In reference to Section 10.415 of Part 1 of this act: 2
No funds shall be expended in furtherance of a DD Health Home 3
rate of $105.90 PMPM. 4

Section 10.2030. To the Department of Health and Senior Services 1
In reference to Sections 10.805, 10.810, 10.815, and 10.825 of 2
Part 1 of this act: 3
No funds shall be expended in furtherance of provider rates 4
greater than the rate in eff ect on January 1, 2025, except Private 5
Duty Nursing rates for which no funds shall be expended in 6
furtherance of provider rates fo r 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 Reasse ssment Program, and further 12
excepting the Medicaid Home-Delivered Meals rates for which 13
no funds shall be expended in furtherance of provider rates for 14
Medicaid Home-Delivered Meals not greater than the lesser of 15
actual costs or $10.99 per meal. 16

Section 10.2040. To the Department of Health and Senior Services 1
In reference to Section 10.815 of Part 1 of this act: 2
No funds shall be expended in furtherance of Independent Living 3
Waiver personal care hours beyond the 60% cost cap Medicaid 4
CCS SS SCS HCS HB 2010 59

State Plan personal care hours of more than 49 hours per week, 5
or 7 hours per day, per waiver participant. 6

Section 10.2045. To the Department of Health and Senior Services 1
In reference to Section 10.815 of Part 1 of this act: 2
No funds shall be expended in furtherance of Aged and Disabled 3
Waiver Respite Care hours of more than 49 hours per week, or 7 4
hours per day, per waiver participant. 5

PART 3

Section 10.3005. To the Department of Mental Health 1
In reference to Sections 10.005 through and including 10.575 in 2
of Part 1 of this act: 3
The Department shall provide monthly reports to the House 4
Budget and Senate Appropriations Committee Chairs and 5
Ranking Members for each DMH Medicaid waiver, large service 6
type by waiver, value-based pa yments, and targeted case 7
management costs: 1) The act ual federal and state share 8
expenditures by appropriation and fund, number of waiver slots 9
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 a ppropriation and fund, number of 12
new waiver slots assigned in FY 2027, average cost per slot, 13
estimated current fiscal year co sts, estimated full fiscal year 14
costs; and 3) The number of i ndividuals 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. 18

Section 10.3010. To the Department of Mental Health 1
In reference to Sections 10.005 through and including 10.575 in 2
of Part 1 of this act: 3
The Department shall provide monthly reports to the House 4
Budget and Senate Appropriations Committee Chairs and 5
Ranking Members the actual overt ime paid by month in the 6
current fiscal year, the estimate of overtime to be paid in the 7
CCS SS SCS HCS HB 2010 60

current fiscal year by month, the cumulative number of accrued 8
overtime hours for department employees, and the dollar 9
equivalent of such overtime hours. 10
Section 10.3012. To the Department of Health and Senior Services 1
In reference to Section 10.825 of Part 1 of this act: 2
The Department shall provide cumulative quarterly reports to the 3
House Budget and Senate Appropr iations Committee Chairs no 4
more than 45 days upon the end of each quarter for each service 5
category and the related adminis trative costs provided by each 6
Area Agency on Aging: 1) the actual federal and state share 7
expenditures by quarter to date by appropriation and fund, 8
projected full state fiscal year co sts; 2) the actual total units 9
delivered by quarter to date, proj ected units to be delivered for 10
the full state fiscal year; 3) the number of individuals presenting 11
for service that have not been served by quarter to date, including 12
the projected costs to serve them annually. 13

Section 10.3015. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
In reference to all sections in Part 1 and Part 2 of this act: 3
The Departments 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
Appropriations Committee Chairs and Ranking Members. 7

Section 10.3020. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
In reference to all sections in Part 1 of this act: 3
The Departments shall provide written documentation of rate 4
setting reports, rate studies, time surveys, time studies, and 5
random moment time studies; a nd the federal and state share 6
fiscal impact estimates, to the House Budget and Senate 7
Appropriations Committee Chairs and Ranking Members. 8

Section 10.3025. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
CCS SS SCS HCS HB 2010 61

In reference to all sections in Part 1 and Part 2 of this act: 3
The Department shall provide c opies of financial reports, 4
maintenance of effort reports , and public assistance cost 5
allocation plans submitted to the federal government and 6
supporting cash on hand reports, by grant, to the House Budget 7
and Senate Appropriations Co mmittee Chairs and Ranking 8
Members. 9

Section 10.3030. To the Department of Mental Health 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written notification of spend plans 3
and spend plan amendments to the House Budget and Senate 4
Appropriations Committee Chairs and Ranking Members prior to 5
submission to the federal government and prior to expenditure of 6
such funds. 7

Section 10.3032. To the Department of Health and Senior Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide wr itten notification of Home and 3
Community-Based Services spend plans and spend plan 4
amendments to the House Budget and Senate Appropriations 5
Committee Chairs and Ranking Members prior to submission to 6
the federal government and prior to expenditure of such funds. 7

Department of Mental Health Totals
General Revenue Fund (4,952.32 F.T.E.) ...........................................................$1,745,888,421
Federal Funds (2,259.63 F.T.E.) ...........................................................................2,605,171,337
Other Funds (27.10 F.T.E.) ................................................................................. 142,522,502
Total (7,239.05 F.T.E.) .......................................................................................$4,493,582,260

Department of Health and Senior Services Totals
General Revenue Fund (649.93 F.T.E.) .................................................................$614,023,653
Federal Funds (979.33 F.T.E.) ..............................................................................1,449,396,448
Other Funds (314.19 F.T.E.) ............................................................................... 84,336,059
Total (1,943.45 F.T.E.) .......................................................................................$2,147,756,160
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