Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services

SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE FOR
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 2011
103RD GENERAL ASSEMBLY
2011H.07T 2026
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Social Services, and the several divisions and programs thereof, to be expended only
as provided in Article IV, Section 28 of th e 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 11.000. 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 5
1. Any clarification of purpose in Part 2 shall state the section or 6
sections in Part 1 to which it attaches and shall, together with the 7
CCS SS SCS HCS HB 2011 2

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

Section 11.005. To the Department of Social Services 1
For the Office of the Director 2
For the Director's Office, provided three percent (3%) flexibility is 3
allowed from this section to Section 11.910 4
Personal Service ................................................................................................$182,958 5
Expense and Equipment ........................................................................... 27,770 6
From General Revenue Fund (1101) ..............................................................................210,728 7

Personal Service ..................................................................................................164,486 8
Expense and Equipment ........................................................................... 1,197 9
From Department of Social Services Federal Fund (1610) ............................................165,683 10

Personal Service 11
From Child Support Enforcement Fund (1169) ................................................... 44,008 12
Total (Not to exceed 2.93 F.T.E.) .................................................................................$420,419 13

Section 11.007. To the Department of Social Services 1
For the Office of the Director 2
For the Technology Unit 3
Personal Service 4
From General Revenue Fund (1101) ..............................................................................$54,080 5
CCS SS SCS HCS HB 2011 3

From Department of Social Services Federal Fund (1610) ................................. 162,239 6
Total (Not to exceed 2.00 F.T.E.) .................................................................................$216,319 7

Section 11.010. To the Department of Social Services 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 that the General Assemb ly shall be notified of the 6
source of any new funds and the purpose for which they shall be 7
expended, in writing, prior to the use of said funds 8
From Department of Social Services Federal Fund (1610) .......................................$2,000,000 9
From Family Services Donations Fund (1167) .................................................... 33,999 10
Total ...........................................................................................................................$2,033,999 11

Section 11.015. To the Department of Social Services 1
Funds are to be transferred out of the State Treasu ry to the OA 2
Information Technology Federal Fund 3
From Department of Social Services Federal Fund (1610) .......................................$3,687,8124

Section 11.020. To the Department of Social Services 1
For the Office of the Director 2
For implementation on the citizen enga gement platform of a Medicaid 3
application providing transparency and two-way communication 4
for efficient application processing and data collection as well as 5
additional functionality necessary to improve efficiency in 6
processing applications for assi stance, provided the department 7
shall procure services in compliance with Chapter 34, RSMo 8
From General Revenue Fund (1101) ............................................................................$400,000 9
From Department of Social Services Federal Fund (1610) ................................. 3,600,000 10
Total ...........................................................................................................................$4,000,000 11

Section 11.025. To the Department of Social Services 1
For the Office of the Director 2
For the Human Resources Center, provided three percent (3%) flexibility 3
is allowed from this section to Section 11.910 4
Personal Service ................................................................................................$396,374 5
Expense and Equipment ........................................................................... 9,919 6
From General Revenue Fund (1101) ..............................................................................406,293 7
CCS SS SCS HCS HB 2011 4

Personal Service ..................................................................................................215,737 8
Expense and Equipment ........................................................................... 28,596 9
From Department of Social Services Federal Fund (1610) ............................................244,333 10

Personal Service 11
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 28,577 12
Total (Not to exceed 10.50 F.T.E.) ...............................................................................$679,203 13

Section 11.030. To the Department of Social Services 1
For the Office of the Director 2
For the State Technical Assistance Team (STAT) 3
For the prevention and investigation of child abuse, child neglect, child 4
sexual abuse, child exploitation/ pornography or child fatality 5
cases, as described in Sections 660.520 to 660.528, RSMo, and 6
for administrative expenses, provided five percent (5%) 7
flexibility is allowed between personal service and expense and 8
equipment; and further provided three percent (3%) flexibility is 9
allowed from this section to Section 11.910 10
Personal Service .............................................................................................$1,737,248 11
Expense and Equipment ........................................................................... 223,786 12
From General Revenue Fund (1101) ...........................................................................1,961,034 13

For the Critical Event Program Staff 14
Personal Service 15
From General Revenue Fund (1101) ................................................................... 334,412 16
Total (Not to exceed 33.50 F.T.E.) ............................................................................$2,295,446 17

Section 11.035. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit a nd Compliance Unit, provided five 3
percent (5%) flexibility is allowed between personal service and 4
expense and equipment, and further provided three percent (3%) 5
flexibility is allowed from this section to Section 11.910 6
Personal Service .............................................................................................$1,991,058 7
Expense and Equipment ........................................................................... 404,161 8
From General Revenue Fund (1101) ...........................................................................2,395,219 9

Personal Service ...............................................................................................2,469,670 10
CCS SS SCS HCS HB 2011 5

Expense and Equipment ........................................................................... 900,493 11
From Department of Social Services Federal Fund (1610) .........................................3,370,163 12

Expense and Equipment 13
From Recovery Audit and Compliance Fund (1974) .......................................................82,087 14

Personal Service ..................................................................................................342,361 15
Expense and Equipment ........................................................................... 141,946 16
From Medicaid Provider Enrollment Fund (1990) .........................................................484,307 17

For the purposes of expanding effort s to eliminate fraud, waste, and 18
abuse within benefit programs, including MO HealthNet, through 19
proactive measures utilizing data analytics, as well as in response 20
to strategies identified thr ough national effort s to enhance 21
program integrity 22
Personal Service ..................................................................................................148,963 23
Expense and Equipment (including $25,957 one-time) ........................... 51,312 24
From General Revenue Fund (1101) ..............................................................................200,275 25

Personal Service ..................................................................................................117,041 26
Expense and Equipment (including $20,395 one-time) ........................... 40,318 27
From Department of Social Services Federal Fund (1610) ................................. 157,359 28
Total (Not to exceed 94.05 F.T.E.) ............................................................................$6,689,410 29

Section 11.040. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For a case management, provider enrollment, and fraud abuse and 4
detection system, provided three percent (3%) flexibility is 5
allowed from this section to Section 11.910 6
Expense and Equipment 7
From General Revenue Fund (1101) .........................................................................$1,141,709 8
From Department of Social Services Federal Fund (1610) ................................. 5,858,291 9
Total ...........................................................................................................................$7,000,000 10

Section 11.045. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For the design, development, im plementation, maintenance, and 4
operation costs for a Medicaid provider enrollment system 5
CCS SS SCS HCS HB 2011 6

Expense and Equipment 6
From General Revenue Fund (1101) .........................................................................$5,271,026 7
From Department of Social Services Federal Fund (1610) ................................. 12,639,235 8
Total .........................................................................................................................$17,910,261 9

Section 11.050. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For recovery audit services 4
Expense and Equipment 5
From Recovery Audit and Compliance Fund (1974) ................................................$1,200,000 6

Section 11.052. To the Department of Social Services 1
For the Office of the Director 2
For the Department of Social Services Systems Information Technology 3
Operations and Procurement, for the purpose of providing 4
technology and procurement operations and support for program-5
specific applications, busine ss function security, project 6
management, and agency-lev el Information Technology 7
procurements for the purpose of providing efficiency and 8
maintaining compliance with state and federal standards across 9
the Social Services programs, provided fifty percent (50%) 10
flexibility is allowed between personal service and expense and 11
equipment 12
Personal Service .............................................................................................$6,230,714 13
Expense and Equipment (including $40,365 one-time) ........................... 12,975,245 14
From General Revenue Fund (1101) .........................................................................19,205,959 15

Personal Service ...............................................................................................7,319,262 16
Expense and Equipment (including $54,027 one-time) ........................... 27,168,327 17
From Department of Social Services Federal Fund (1610) .......................................34,487,589 18

Personal Service ...............................................................................................2,357,176 19
Expense and Equipment ........................................................................... 6,373,546 20
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 8,730,722 21
Total (Not to exceed 185.24 F.T.E.) ........................................................................$62,424,270 22

Section 11.053. To the Department of Social Services 1
For the Office of the Director 2
CCS SS SCS HCS HB 2011 7

In accordance with Executive Orders 26-02 and 26-03, funds are 3
provided to the Division of Information Technology to establish 4
a shared artificial intelligen ce (AI) development environment, 5
including necessary tooling, platforms, and dedicated personnel. 6
This infrastructure shall serve as a foundational capability 7
available to state agencies fo r the responsible and secure 8
integration of AI into govern ment operations. Funding shall 9
support workforce productivity t ools and modernization efforts 10
that reduce manual processes and improve the delivery of 11
services to Missouri citizens 12
From General Revenue Fund (1101) .........................................................................$1,000,000 13

Section 11.055. To the Department of Social Services 1
For the Division of Finance and Administrative Services, provided three 2
percent (3%) flexibility is allowe d from this section to Section 3
11.910 4
Personal Service .............................................................................................$2,642,270 5
Expense and Equipment (including $17,289 one-time) ........................... 381,091 6
From General Revenue Fund (1101) ...........................................................................3,023,361 7

Personal Service ...............................................................................................1,604,146 8
Expense and Equipment (including $23,148 one-time) ........................... 307,464 9
From Department of Social Services Federal Fund (1610) .........................................1,911,610 10

Personal Service ......................................................................................................5,246 11
Expense and Equipment ........................................................................... 317 12
From Department of Social Services Administrative Trust Fund (1545) ...........................5,563 13

Personal Service ....................................................................................................65,736 14
Expense and Equipment ........................................................................... 750 15
From Child Support Enforcement Fund (1169) ................................................................66,486 16

For the centralized inventory sy stem, for reimbur sable goods and 17
services provided by the depart ment, and for related equipment 18
replacement and maintenance expenses 19
From Department of Social Services Administrative Trust Fund (1545) ............ 1,200,000 20
Total (Not to exceed 58.52 F.T.E.) ............................................................................$6,207,020 21

Section 11.060. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 8

For the Division of Finance and Administrative Services 2
For the Child Welfare Eligibility Unit 3
For administrative expenses, provided five percent (5%) flexibility is 4
allowed between personal service and expense and equipment 5
Personal Service ................................................................................................$881,572 6
Expense and Equipment ........................................................................... 21,300 7
From General Revenue Fund (1101) ..............................................................................902,872 8

Personal Service ..................................................................................................779,815 9
Expense and Equipment ........................................................................... 18,964 10
From Department of Social Services Federal Fund (1610) ................................. 798,779 11
Total (Not to exceed 35.00 F.T.E.) ............................................................................$1,701,651 12

Section 11.065. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the Compliance Services Unit 3
For administrative expenses 4
Personal Service 5
From General Revenue Fund (1101) ............................................................................$218,288 6
From Victims of Crime Act Federal Fund (1146) ..........................................................178,134 7
From Temporary Assistance for Needy Families Federal Fund (1199) .........................255,985 8
From Department of Social Services Federal Fund (1610) ............................................130,919 9

For contracted compliance monitoring and fiscal monitoring services 10
Expense and Equipment 11
From Department of Social Services Federal Fund (1610) .........................................1,031,110 12
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 578,663 13
Total (Not to exceed 11.00 F.T.E.) ............................................................................$2,393,099 14

Section 11.070. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the payment of fees to cont ractors who engage in revenue 3
maximization projects on behalf of the Department of Social 4
Services and the General Assembly 5
From Department of Social Services Federal Fund (1610) ..........................................$450,000 6
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 150,000 7
Total ..............................................................................................................................$600,000 8

Section 11.075. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 9

For the Division of Finance and Administrative Services 2
For the receipt and disbursement of refunds and incorrectly deposited 3
receipts to allow the over-collection of accounts receivables to be 4
paid back to the recipient, provided ten percent (10%) flexibility 5
is allowed between federal and other funds within this section 6
From Title XIX - Adult Expansion Federal Fund (1358) .............................................$450,000 7
From FMAP Enhancement-Expansion Fund (2466) ......................................................450,000 8
From Federal and Other Fund (1189) ..........................................................................1,500,000 9
From Department of Social Services Federal Fund (1610) .........................................5,025,000 10
From Temporary Assistance for Needy Families Federal Fund (1199) ...........................27,000 11
From Title XIX Department of Social Services Medicaid Assistance 12
Federal Fund (1163) .......................................................................................10,250,000 13
From Third Party Liability Collections Fund (1120) ......................................................369,000 14
From Victims of Crime Act Federal Fund (1146) ..........................................................500,000 15
From Title XXI Children’s Health Insurance Program Federal Fund 16
(1159) ...............................................................................................................1,500,000 17
From Pharmacy Rebates Fund (1114) ..............................................................................25,000 18
From Premium Fund (1885) ........................................................................................5,500,000 19
From Department of Social Services Federal Stimulus Fund (2355) .............................750,000 20
From Department of Social Services Federal Stimulus – 2021 Fund 21
(2456) ....................................................................................................... 200,000 22
Total .........................................................................................................................$26,546,000 23

Section 11.080. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For payments to counties and the C ity of St. Louis for the care and 3
maintenance of each delinquent or dependent child as provided 4
in Section 211.156, RSMo, provided three percent (3%) 5
flexibility is allowed from this section to Section 11.910 6
From General Revenue Fund (1101) .........................................................................$1,324,062 7

Section 11.085. To the Department of Social Services 1
For the Division of Legal Services administrative expenses, provided 2
three percent (3%) flexibility is allowed from this section to 3
Section 11.910 4
Personal Service .............................................................................................$3,527,170 5
Expense and Equipment ........................................................................... 146,300 6
From General Revenue Fund (1101) ...........................................................................3,673,470 7

CCS SS SCS HCS HB 2011 10

Personal Service ...............................................................................................2,100,033 8
Expense and Equipment ........................................................................... 141,064 9
From Department of Social Services Federal Fund (1610) .........................................2,241,097 10
Personal Service ..................................................................................................749,526 11
Expense and Equipment ........................................................................... 230,773 12
From Temporary Assistance for Needy Families Federal Fund (1199) .........................980,299 13

Personal Service ..................................................................................................719,349 14
Expense and Equipment ........................................................................... 91,158 15
From Third Party Liability Collections Fund (1120) ......................................................810,507 16

Personal Service 17
From Child Support Enforcement Fund (1169) ................................................... 178,880 18
Total (Not to exceed 115.04 F.T.E.) ..........................................................................$7,884,253 19

Section 11.090. To the Department of Social Services 1
For the Division of Legal Services 2
For permanency attorneys and permanency attorney contracted services, 3
including reunification, guardianship, adoption, or termination of 4
parental rights, for children in the care, custody, or involved with 5
the Children’s Division, provide d twenty five percent (25%) 6
flexibility is allowed from expe nse and equipment to personal 7
service, and further provided fi fty percent (50%) flexibility is 8
allowed from personal service to expense and equipment, and 9
further provided ten percent (10%) flexibility is allowed between 10
Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11
11.495, and 11.500 12
Personal Service .............................................................................................$4,349,951 13
Expense and Equipment ........................................................................... 1,386,211 14
From General Revenue Fund (1101) ...........................................................................5,736,162 15

Personal Service ...............................................................................................2,052,820 16
Expense and Equipment ........................................................................... 915,506 17
From Department of Social Services Federal Fund (1610) .........................................2,968,326 18

Personal Service 19
From Temporary Assistance for Needy Families Federal Fund (1199) .........................252,379 20

Personal Service 21
CCS SS SCS HCS HB 2011 11

From Third Party Liability Collections Fund (1120) ........................................................67,045 22

Personal Service 23
From Child Support Enforcement Fund (1169) ................................................................14,061 24

For Title IV-E reimbursements to coun ties, the City of St. Louis, and 25
other organizations who receive public dollars for the legal 26
representation of parents and children in juvenile or family courts 27
From Department of Social Services Federal Fund (1610) ............................................600,000 28

For non-recurring adoption or legal guardianship expens es related to 29
permanency, including but no t limited to: reasonable and 30
necessary adoption fees, court co sts, attorney fees and other 31
expenses which are directly related to the legal adoption or legal 32
guardianship 33
From General Revenue Fund (1101) ...........................................................................2,019,345 34
From Department of Social Services Federal Fund (1610) ............................................826,778 35
From Temporary Assistance for Needy Families Federal Fund (1199) .........................208,177 36

For a program to provide legal representation for parents of children who 37
are the subject of child abuse an d neglect investigations under 38
Chapter 210 and potential court proceedings under Chapter 211 39
From Department of Social Services Federal Fund (1610) ................................. 150,000 40
Total (Not to exceed 80.00 F.T.E.) ..........................................................................$12,842,273 41

Section 11.095. To the Department of Social Services 1
For the Division of Legal Services 2
For a not-for-profit organization to pr ovide legal assistance for kinship 3
placements with non-contested gua rdianship cases in a county 4
with more than seven hundred thousand but fewer than eight 5
hundred thousand inhabitants, and a county with more than two 6
hundred thirty thousand but fewer than two hundred sixty 7
thousand inhabitants, and a county with mo re than one hundred 8
thousand but fewer than one hundred twenty thousand inhabitants 9
and with a county seat with more than four thousand but fewer 10
than six thousand inhabitants, and a county with more than one 11
hundred thousand but fewer than one hundred twenty thousand 12
inhabitants, and with a county seat with more than nine thousand 13
but fewer than eleven thousand inhabitants, and in a county with 14
CCS SS SCS HCS HB 2011 12

more than twenty-two thousand but fewer than twenty-five 15
thousand inhabitants and with a county seat with more than nine 16
thousand but fewer than twel ve thousand five hundred 17
inhabitants, and in a county w ith more than one hundred fifty 18
thousand but fewer than two hundr ed thousand inhabitants, and 19
in a county with more than forty thousand but fewer than fifty 20
thousand inhabitants and with a co unty seat with more than ten 21
thousand but fewer than fourteen thousand inhabitants, and in a 22
county with more than seventy thousand but fewer than eighty 23
thousand inhabitants, and in a co unty with more than fourteen 24
thousand but fewer than fi fteen thousand seven hundred 25
inhabitants and with a county seat with more than three thousand 26
but fewer than four thousand five hundred fifty inhabitants, to 27
help children remain safely with kinship caregivers and prevent 28
the need for foster care placement 29
From General Revenue Fund (1101) ............................................................................$200,000 30

Section 11.096. To the Department of Social Services 1
For the Division of Legal Services 2
For a 501(c)(3) non-profit organization, founded in 1989 and located in 3
a city with more than one hundred sixty thousand but fewer than 4
two hundred thousand inhabitants, whose mission is to recruit, 5
train and support community volunt eers who assist the court in 6
protecting the best interests of abused and neglected children in 7
Southwest Missouri, for the pur pose of program expansion and 8
services into surrounding counties 9
From Department of Social Services Federal Fund (1610) (one-time) ........................$200,000 10

Section 11.100. To the Department of Social Services 1
For the Family Support Division, provided three percent (3%) flexibility 2
is allowed from this section to Section 11.910 3
Personal Service .............................................................................................$2,697,796 4
Expense and Equipment ........................................................................... 70,690 5
From General Revenue Fund (1101) ...........................................................................2,768,486 6

Personal Service ...............................................................................................3,361,874 7
Expense and Equipment ........................................................................... 5,511,919 8
From Department of Social Services Federal Fund (1610) .........................................8,873,793 9

CCS SS SCS HCS HB 2011 13

Personal Service ....................................................................................................51,137 10
Expense and Equipment ........................................................................... 501,513 11
From Temporary Assistance for Needy Families Federal Fund (1199) .........................552,650 12
Personal Service 13
From Child Support Enforcement Fund (1169) ................................................... 657,029 14
Total (Not to exceed 109.80 F.T.E.) ........................................................................$12,851,958 15

Section 11.104. To the Department of Social Services 1
For the Family Support Division 2
For the income maintenance Quality Assurance Team 3
Personal Service ................................................................................................$266,614 4
Expense and Equipment ........................................................................... 4,916 5
From General Revenue Fund (1101) ..............................................................................271,530 6

Personal Service ..................................................................................................799,841 7
Expense and Equipment ........................................................................... 14,749 8
From Department of Social Services Federal Fund (1610) ................................. 814,590 9
Total (Not to exceed 23.00 F.T.E.) ............................................................................$1,086,120 10

Section 11.105. To the Department of Social Services 1
For the Family Support Division 2
For the income maintenance field staff and operations, provided three 3
percent (3%) flexibility is allowe d from this section to Section 4
11.910 5
Personal Service ...........................................................................................$36,426,688 6
Expense and Equipment ........................................................................... 7,700,582 7
From General Revenue Fund (1101) .........................................................................44,127,270 8

Personal Service .............................................................................................34,614,212 9
Expense and Equipment ........................................................................... 14,039,027 10
From Department of Social Services Federal Fund (1610) .......................................48,653,239 11

Personal Service ..................................................................................................434,233 12
Expense and Equipment ........................................................................... 95,138 13
From Temporary Assistance for Needy Families Federal Fund (1199) .........................529,371 14

Personal Service ...............................................................................................1,037,345 15
Expense and Equipment ........................................................................... 27,924 16
From Health Initiatives Fund (1275) ................................................................... 1,065,269 17
Total (Not to exceed 1,556.23 F.T.E.) .....................................................................$94,375,149 18
CCS SS SCS HCS HB 2011 14

Section 11.106. To the Department of Social Services 1
For the Family Support Division 2
For the Medical Review Team (MRT) 3
For administrative expenses 4
Personal Service 5
From General Revenue Fund (1101) ............................................................................$226,254 6
From Department of Social Services Federal Fund (1610) ................................. 678,763 7
Total (Not to exceed 21.00 F.T.E.) ...............................................................................$905,017 8

Section 11.107. To the Department of Social Services 1
For the Family Support Division 2
For contracted services to support Medicaid eligibility renewal 3
processing and the development of training materials to support 4
ongoing operations 5
Expense and Equipment 6
From General Revenue Fund (1101) .........................................................................$2,310,000 7
From Department of Social Services Federal Fund (1610) ................................. 6,930,000 8
Total ...........................................................................................................................$9,240,000 9

Section 11.110. To the Department of Social Services 1
For the Family Support Division 2
For the Income Maintenance (IM) Call Center 3
For state operated and contracted call center administrative and 4
operational expenses, provided ten percent (10%) flexibility is 5
allowed between subsections within this section 6
For Medicaid and Children’s Hea lth Insurance Program (CHIP) 7
eligibility 8
Personal Service ................................................................................................$920,389 9
Expense and Equipment ........................................................................... 1,544,470 10
From General Revenue Fund (1101) ...........................................................................2,464,859 11

Personal Service ...............................................................................................2,768,127 12
Expense and Equipment ........................................................................... 4,632,904 13
From Department of Social Services Federal Fund (1610) .........................................7,401,031 14

For Adult Expansion Group (AEG) elig ibility, as described in Section 15
36(c) of Article IV of the Missouri Constitution 16
Personal Service ..................................................................................................315,567 17
CCS SS SCS HCS HB 2011 15

Expense and Equipment .......................................................................... 540,473 18
From General Revenue Fund (1101) ..............................................................................856,040 19

Personal Service ..................................................................................................965,469 20
Expense and Equipment ........................................................................... 1,621,418 21
From Department of Social Services Federal Fund (1610) .........................................2,586,887 22

For Supplemental Nutrition Assistance Program (SNAP) eligibility 23
Personal Service ...............................................................................................7,399,089 24
Expense and Equipment ........................................................................... 5,258,611 25
From General Revenue Fund (1101) .........................................................................12,657,700 26

Personal Service ...............................................................................................4,866,640 27
Expense and Equipment ........................................................................... 2,505,605 28
From Department of Social Services Federal Fund (1610) .........................................7,372,245 29

For Temporary Assistance eligibility 30
Personal Service ..................................................................................................552,291 31
Expense and Equipment ........................................................................... 245,951 32
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 798,242 33
Total (Not to exceed 438.00 F.T.E.) ........................................................................$34,137,004 34

Section 11.115. To the Department of Social Services 1
For the Family Support Division 2
For public acute care hospital partners hips to assist with eligibility 3
determinations for Medicaid and CHIP 4
From General Revenue Fund (1101) ...........................................................................$ 312,500 5
From Department of Social Services Federal Fund (1610) ................................. 937,500 6
Total ...........................................................................................................................$1,250,000 7

Section 11.120. To the Department of Social Services 1
For the Family Support Division 2
For income maintenance and child support staff training, provided three 3
percent (3%) flexibility is allowe d from this section to Section 4
11.910 5
Expense and Equipment 6
From General Revenue Fund (1101) ............................................................................$118,118 7
From Department of Social Services Federal Fund (1610) ................................. 97,674 8
Total ..............................................................................................................................$215,792 9

CCS SS SCS HCS HB 2011 16

Section 11.125. To the Department of Social Services 1
For the Family Support Division 2
For a non-profit organization established in 2018 to provide benefits and 3
services as provided by the Re fugee Act of 1980 as amended; 4
whose mission and vision is pr omoting the well-being and 5
inclusion of refugees by resourcing and coordinating resettlement 6
programs across the state; and subcontracts or partners with local 7
refugee resettlement pr ograms throughout the state to ensure 8
access to resources needed to he lp populations serviced rebuild 9
their lives 10
From Department of Social Services Federal Fund (1610) .....................................$37,904,538 11

Section 11.130. To the Department of Social Services 1
For the Family Support Division 2
For the Electronic Benefit Transfers (EBT) system 3
Expense and Equipment 4
From General Revenue Fund (1101) .........................................................................$1,086,957 5
From Department of Social Services Federal Fund (1610) ............................................482,970 6
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 100,000 7
Total ...........................................................................................................................$1,669,927 8

Section 11.135. To the Department of Social Services 1
For the Family Support Division 2
For the Summer Electronic Benefit Transfer (EBT) program 3
For administrative expenses 4
Personal Service ................................................................................................$171,367 5
Expense and Equipment ........................................................................... 11,543 6
From General Revenue Fund (1101) ..............................................................................182,910 7

Personal Service ..................................................................................................171,367 8
Expense and Equipment ........................................................................... 11,543 9
From Department of Social Services Federal Fund (1610) ................................. 182,910 10
Total (Not to exceed 6.00 F.T.E.) .................................................................................$365,820 11

Section 11.140. To the Department of Social Services 1
For the Family Support Division 2
For the Summer Electronic Benefit Transfer (EBT) program 3
For contracted vendor costs and outreach costs 4
Expense and Equipment 5
CCS SS SCS HCS HB 2011 17

From General Revenue Fund (1101) .........................................................................$4,987,620 6
From Department of Social Services Federal Fund (1610) ................................. 4,987,620 7
Total ...........................................................................................................................$9,975,2408

Section 11.141. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Department of Social Services Federal Fund (1610) (one-time) .....................$1,357,677 4

Section 11.145. To the Department of Social Services 1
For the Family Support Division 2
For the Missouri SuN Bucks Summer Electronic Benefit Transfer (EBT) 3
program benefit disbursements 4
From Department of Social Services Federal Fund (1610) .....................................$51,500,000 5

Section 11.150. To the Department of Social Services 1
For the Family Support Division 2
For the receipt of funds from the Polk County and Bolivar Charitable 3
Trust for the exclusive benefit and use of the Polk County Office 4
From Family Services Donations Fund (1167) ...............................................................$10,000 5

Section 11.155. To the Department of Social Services 1
For the Family Support Division 2
For contractor, hardware, and other costs associated with planning, 3
development, and implementation of a Family Assistance 4
Management Information System (FAMIS), provided, three 5
percent (3%) flexibility is allowe d from this section to Section 6
11.910 7
Expense and Equipment 8
From General Revenue Fund (1101) ............................................................................$571,908 9
From Department of Social Services Federal Fund (1610) ..............................................73,422 10
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000 11
Total ...........................................................................................................................$1,045,330 12

Section 11.160. To the Department of Social Services 1
For the Family Support Division 2
For Missouri Eligibility Determ ination and Enrollment System 3
(MEDES), provided ten percent (10%) flexibility is allowed 4
between Sections 11.160 and 11.165, and further provided three 5
CCS SS SCS HCS HB 2011 18

percent (3%) flexibility is allowe d from this section to Section 6
11.910 7
For the design, development, im plementation, maintenance and 8
operation costs of the Medicaid and Children’s Health Insurance 9
Program (CHIP) eligibility ca tegories under the Modified 10
Adjusted Gross Income (MAGI) based methodology 11
Expense and Equipment, excluding employee administrative 12
costs 13
From General Revenue Fund (1101) .........................................................................$2,179,105 14
From Department of Social Services Federal Fund (1610) .......................................25,179,260 15
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,300,007 16
From Health Initiatives Fund (1275) ...........................................................................1,000,004 17

For the design, development, and implementation costs for Supplemental 18
Nutrition Assistance Program (SNAP) 19
Expense and Equipment, excluding employee administrative 20
costs 21
From General Revenue Fund (1101) ...........................................................................6,093,538 22
From Department of Social Services Federal Fund (1610) .........................................7,652,690 23
From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000 24

For the design, development, and im plementation costs for Temporary 25
Assistance (TA) 26
Expense and Equipment, excluding employee administrative 27
costs 28
From Temporary Assistance for Needy Families Federal Fund (1199) .........................200,000 29

For the expenses for the independent verification and validation (IV&V) 30
services 31
Expense and Equipment, excluding employee administrative 32
costs 33
From General Revenue Fund (1101) ..............................................................................352,983 34
From Department of Social Services Federal Fund (1610) ............................................970,537 35

For the expenses related to the en terprise content management (ECM) 36
system 37
Expense and Equipment, excluding employee administrative 38
costs 39
From General Revenue Fund (1101) ..............................................................................453,867 40
CCS SS SCS HCS HB 2011 19

From Department of Social Services Federal Fund (1610) .........................................2,227,500 41

For the expenses related to the project management office (PMO) 42
Expense and Equipment 43
From General Revenue Fund (1101) ...........................................................................1,359,631 44
From Department of Social Services Federal Fund (1610) ................................. 2,661,566 45
Total .........................................................................................................................$53,630,688 46

Section 11.165. To the Department of Social Services 1
For the Family Support Division 2
For third party eligibility verification services: in order to improve the 3
accuracy of Medicaid, SNAP and TANF eligibility 4
determinations and redeterminations, increase operational 5
efficiencies, achieve cost savings, and minimize fraud, the 6
Missouri Department of Social Services shall obtain real-time 7
employment and in come data (up-to -date, non-modeled 8
employment and income data provided by employers and/or 9
payroll providers) from a payroll data provider, as defined by the 10
Fair Credit Reporting Act, 15 U.S.C. s.1681 et seq., provided the 11
term "payroll data provider" means payroll providers, wage 12
verification companies, and other commercial or non-13
commercial entities that collect and maintain data regarding 14
employment and wages; and fu rther provided the contractors 15
shall also, on a monthl y basis, identify participants of covered 16
programs who have died, moved out of state, or been incarcerated 17
longer than 90 days, provided ten percent (10%) fl exibility is 18
allowed between Sections 11.160 and 11.165 19
Expense and Equipment 20
From General Revenue Fund (1101) .........................................................................$5,336,379 21
From Department of Social Services Federal Fund (1610) .........................................9,462,396 22
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 217,878 23
Total .........................................................................................................................$15,016,653 24

Section 11.170. To the Department of Social Services 1
For the Family Support Division 2
For income maintenance eligibility system updates and additional 3
resources to implement Public Law No. 119-21 4
From General Revenue Fund (1101) .......................................................................$17,246,497 5
From Department of Social Services Federal Fund (1610) ................................. 32,346,763 6
CCS SS SCS HCS HB 2011 20

Total .........................................................................................................................$49,593,260 7

Section 11.175. To the Department of Social Services 1
For the Family Support Division 2
For the Food Nutrition Program 3
From Department of Social Services Federal Fund (1610) .......................................$7,031,849 4

Section 11.180. To the Department of Social Services 1
For the Family Support Division 2
For a public school located in a city with more than one thousand nine 3
hundred but fewer than two thousand one hundred fifty 4
inhabitants and located in a count y with more than twenty-two 5
thousand but fewer than twenty-five thousand inhabitants and 6
with a county seat with more th an five hundred but fewer than 7
nine hundred, a public school located in a city with more than 8
twelve thousand five hundred but fewer than fourteen thousand 9
inhabitants and located in a county with more than fifty thousand 10
but fewer than sixty thousand inhabitants and with a county seat 11
with more than twelve thous and six hundred but fewer than 12
fifteen thousand inhabitants, a public school located in a city with 13
more than seven thousand but fewer than eight thousand 14
inhabitants and that is the county seat of a county with more than 15
fifteen thousand seven hundred but fewer than seventeen 16
thousand six hundred inhabitants, a public school located in a city 17
with more than four thousand ni ne hundred but fewer than five 18
thousand six hundred inhabitants and that is the county seat of a 19
county with more than twelve thousand five hu ndred but fewer 20
than fourteen thousand inhabitants, and a public school located in 21
a city with more than twelve thousand five hundred but fewer 22
than fourteen thousand inhabitants and located in a county with 23
more than fifty thousand but fewer than sixty thousand 24
inhabitants and with a county seat with more than ten thousand 25
but fewer than twelve thousand six hundred inhabitants, for a 26
model that uses integrated student support in collaboration with 27
local communities to address barriers to student success 28
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,000,000 29

For a nonprofit organization located in a city with more than four 30
hundred thousand inhabitants and located in more than one 31
CCS SS SCS HCS HB 2011 21

county that provides programs and services including math, 32
science, and computer tutoring; job skills training; transportation; 33
food and clothing programs; and sports programs 34
From General Revenue Fund (1101) (one-time) ............................................................500,000 35

For Missouri Work Programs 36
For a century-old viable non-profit entity located in a city not within a 37
county that annually serves over one hundred thousand clients 38
regionally assisting participants to become successful employees 39
and that serves economically disadvantaged males and females to 40
find jobs and have the opportunity to earn livable wages 41
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000 42

For a program in a city with more than four hundred thousand inhabitants 43
and located in more than one county to teach parenting 44
curriculum and other skills to me n, along with assisting them in 45
finding employment, health care, dealing with civil and criminal 46
charges and cases and other social services thus allowing them to 47
develop healthy and supportive rela tionships with their kids and 48
families 49
From Temporary Assistance for Needy Families Federal Fund (1199) 50
(one-time) ..............................................................................................................50,000 51

For the purpose of funding a program in a city not wi thin a county to 52
foster healthy relationships by strengthening families and 53
reducing the rates of absentee fathers through employment 54
placement, job readiness, and employer retention skills 55
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,000,000 56
Total ...........................................................................................................................$3,350,000 57

Section 11.181. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in a city not within a county that 3
has been in operation for over 100 years and provides children 4
and family services 5
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,000,000 6

Section 11.185. To the Department of Social Services 1
For the Family Support Division 2
CCS SS SCS HCS HB 2011 22

For a nonprofit organization located in a city with more than four 3
hundred thousand inhabitants and located in more than one 4
county that provides jo b training in pet groo ming to help break 5
generational poverty, including the expansion of such services to 6
additional locations 7
From General Revenue Fund (1101) (one-time) ..........................................................$995,354 8
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 600,000 9
Total ...........................................................................................................................$1,595,354 10

Section 11.187. To the Department of Social Services 1
For the Family Support Division 2
For a program in any county with more than seventy thousand but fewer 3
than eighty thousand inhabitant s that is a national service 4
initiative and is the most successful mentoring program for young 5
people of color from its inception, was to provide scholarships to 6
needy and talented students fro m grades 6–12, and to inform 7
young people of the professions and other career options 8
From General Revenue Fund (1101) (one-time) ............................................................$25,000 9

Section 11.190. To the Department of Social Services 1
For the Family Support Division 2
For a nonprofit organization located in any county with more than one 3
million inhabitants that provides youth and their family with 4
mentorship as well as virtual or in-person educational 5
opportunities relating to college preparedness, workforce 6
development, and character pr eparation to foster academic 7
success 8
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,080,500 9

Section 11.191. To the Department of Social Services 1
For the Family Support Division 2
For a non-profit organization located in a county with more than one 3
million inhabitants that is driven by the goal to make the world a 4
better place for all youth, strives to build productive relationships 5
and make a positive impact in all pursuits 6
From General Revenue Fund (1101) (one-time) ..........................................................$100,000 7

Section 11.195. To the Department of Social Services 1
For the Family Support Division 2
CCS SS SCS HCS HB 2011 23

For the Temporary Assistance for Needy Families (TANF) benefits and 3
Temporary Assistance (TA) Diversion transitional benefits 4
From General Revenue Fund (1101) .........................................................................$2,946,121 5
From Temporary Assistance for Needy Families Federal Fund (1199) ....................11,718,245 6

For the purpose of funding a joint effort between a program in any city 7
not within a county that build s strong families and vibrant 8
communities by providing hope, comprehensive services, and 9
meaningful opportunities that exemplifies the cultural and artistic 10
traditions of people in Africa, the Caribbean and the Americas 11
and a century-old viable non-profit entity located in a city not 12
within a county that annually serves over one hundred thousand 13
clients regionally assisting participants to become successful 14
employees and that serves ec onomically disadvantaged males 15
and females to find jobs and have the opportunity to earn livable 16
wages 17
From Temporary Assistance for Needy Families Federal Fund (1199) .........................250,000 18

For a nonprofit organization headquartered in a city with more than one 19
hundred sixty thousand but fewe r than two hundred thousand 20
inhabitants whose mission is to feed the world through children's 21
feeding initiatives, community outreaches, disaster response, and 22
strategic program partners 23
From General Revenue Fund (1101) (one-time) ................................................. 750,000 24
Total .........................................................................................................................$15,664,366 25

Section 11.200. To the Department of Social Services 1
For the Family Support Division 2
For a healthy marriage and fatherhood initiative 3
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$1,250,000 4

Section 11.201. To the Department of Social Services 1
For the Family Support Division 2
For a non-profit organization, founded in 1977 and located in a city with 3
more than eight thousand but fewer than nine thousand 4
inhabitants and located in a c ounty with more than one million 5
inhabitants, whose mission is to empower children, parents and 6
families during and after divorce through counseling, education, 7
and support to ensure successful outcomes, improve emotional 8
CCS SS SCS HCS HB 2011 24

and family stability, and promot e opportunities to achieve goals 9
and transition into healthy and productive adults 10
From Temporary Assistance for Needy Families Federal Fund (1199) 11
(one-time) ..........................................................................................................$100,000 12

Section 11.205. To the Department of Social Services 1
For the Family Support Division 2
For supplemental payments to aged or disabled persons 3
From General Revenue Fund (1101) ................................................................................$6,120 4

Section 11.210. To the Department of Social Services 1
For the Family Support Division 2
For nursing care payments to aged, b lind, or disabled persons, and for 3
personal funds to recipients of Supplemental Nursing Care 4
payments as required by Section 208.030, RSMo, provided 5
thirty-five percent (35%) flexibility is allowed from Section 6
11.210 to 11.745 7
From General Revenue Fund (1101) .......................................................................$22,344,440 8

Section 11.215. To the Department of Social Services 1
For the Family Support Division 2
For Blind Pension and supplemental payments to blind persons, provided 3
that the Department of Social Se rvices, whenever it calculates a 4
new estimated rate or rates for the Blind Pension and/or 5
supplemental payments to blind persons for the upcoming fiscal 6
year, shall transmit the new estimated rate or rates, as well as the 7
accompanying assumptions and calculations used to create the 8
new estimated rate or rates, to the following organizations: 9
Missouri Council for the Blind, National Federation of the Blind 10
of Missouri, and the State Rehabilitation Council 11
From Blind Pension Fund (1621) ............................................................................$38,838,11212

Section 11.220. To the Department of Social Services 1
For the Family Support Division 2
For the administration of blind services, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.910 4
Personal Service .............................................................................................$1,093,800 5
Expense and Equipment ........................................................................... 114,927 6
From General Revenue Fund (1101) ...........................................................................1,208,727 7
CCS SS SCS HCS HB 2011 25

Personal Service ...............................................................................................4,113,351 8
Expense and Equipment ........................................................................... 754,915 9
From Department of Social Services Federal Fund (1610) ................................. 4,868,266 10
Total (Not to exceed 102.69 F.T.E.) ..........................................................................$6,076,993 11

Section 11.225. To the Department of Social Services 1
For the Family Support Division 2
For services for the visually imp aired, provided thre e percent (3%) 3
flexibility is allowed from this section to Section 11.910 4
From General Revenue Fund (1101) .........................................................................$1,298,211 5
From Department of Social Services Federal Fund (1610) .........................................5,657,946 6
From Family Services Donations Fund (1167) .................................................................99,995 7
From Blindness Education, Screening and Treatment Program Fund 8
(1892) ....................................................................................................... 349,325 9
Total ...........................................................................................................................$7,405,477 10

Section 11.230. To the Department of Social Services 1
For the Family Support Division 2
For business enterprise programs for the blind 3
From Department of Social Services Federal Fund (1610) .....................................$44,603,034 4

Section 11.232. To the Department of Social Services 1
For the Family Support Division 2
For a professional women's soccer team located in a city with more than 3
four hundred thousand inhabitants and located in more than one 4
county to provide youth soccer clubs and programs 5
From General Revenue Fund (1101) (one-time) ............................................................$20,000 6

Section 11.235. To the Department of Social Services 1
For the Family Support Division 2
For the Child Support Enforcement fi eld staff and operations, provided 3
three percent (3%) flexibility is allowed from this section to 4
Section 11.910 5
Personal Service .............................................................................................$3,681,668 6
Expense and Equipment ........................................................................... 2,587,989 7
From General Revenue Fund (1101) ...........................................................................6,269,657 8

Personal Service .............................................................................................19,803,965 9
CCS SS SCS HCS HB 2011 26

Expense and Equipment ........................................................................... 5,684,247 10
From Department of Social Services Federal Fund (1610) .......................................25,488,212 11

Personal Service ...............................................................................................2,457,642 12
Expense and Equipment ........................................................................... 2,146,390 13
From Child Support Enforcement Fund (1169) ................................................... 4,604,032 14
Total (Not to exceed 584.04 F.T.E.) ........................................................................$36,361,901 15

Section 11.236. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization which was founded in 2008 and located 3
in any city with more than one hundred twenty-five thousand but 4
fewer than one hundred sixty thousand inhabitants provided the 5
funds are used for responsible fatherhood services and healthy 6
marriage activities, including but not limited to the collection of 7
child support checks, and provided the Department of Social 8
Services shall apply for any waivers necessary to allow the non-9
profit organization to expend these funds 10
From Child Support Enforcement Fund (1169) ............................................................$500,000 11

Section 11.240. To the Department of Social Services 1
For the Family Support Division 2
For the Child Support Enforcement Call Center 3
For state operated call center administrative and operational expenses 4
Personal Service ................................................................................................$887,742 5
Expense and Equipment ........................................................................... 614,885 6
From General Revenue Fund (1101) ...........................................................................1,502,627 7

Personal Service ...............................................................................................1,694,015 8
Expense and Equipment ........................................................................... 1,297,503 9
From Department of Social Services Federal Fund (1610) .........................................2,991,518 10

Personal Service ..................................................................................................129,519 11
Expense and Equipment ........................................................................... 95,844 12
From Child Support Enforcement Fund (1169) ................................................... 225,363 13
Total (Not to exceed 67.20 F.T.E.) ............................................................................$4,719,508 14

Section 11.245. To the Department of Social Services 1
For the Family Support Division 2
For the Family Support Payment Center 3
CCS SS SCS HCS HB 2011 27

Personal Service ..................................................................................................$72,799 4
Expense and Equipment ........................................................................... 3,470,006 5
From Department of Social Services Federal Fund (1610) .........................................3,542,805 6

Personal Service ....................................................................................................35,931 7
Expense and Equipment ........................................................................... 1,462,900 8
From Child Support Enforcement Fund (1169) ................................................... 1,498,831 9
Total (Not to exceed 2.62 F.T.E.) ..............................................................................$5,041,636 10

Section 11.250. To the Department of Social Services 1
For the Family Support Division 2
For reimbursements to counties and the City of St. Louis and contractual 3
agreements with local governme nts providing child support 4
services, provided three percent (3%) flexibility is allowed from 5
this section to Section 11.910 6
From General Revenue Fund (1101) .........................................................................$1,840,491 7
From Department of Social Services Federal Fund (1610) .......................................13,386,582 8
From Child Support Enforcement Fund (1169) ................................................... 800,212 9
Total .........................................................................................................................$16,027,285 10

Section 11.252. To the Department of Social Services 1
For the Family Support Division 2
For a 501(c)(3) non-profit corporation formed in 2010, and located in a 3
city with more than one hundred sixty thousand but fewer than 4
two hundred thousand inhabitants to assist at-risk or foster care 5
youth ranging in ages from 16 to 24 years old through its positive 6
youth development programs and by helping them identify and 7
apply their unique strengths in order to experience a successful, 8
self-sufficient transition into adulthood 9
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$150,000 10

Section 11.253. To the Department of Social Services 1
For the Family Support Division 2
For a 501 (c)(3) organization incorporated in 1971 located in a city with 3
more than four hundred thousand inhabitants and located in more 4
than one county that offers re sidential support to men over 21 5
years old as they work to rebuild their lives from alcohol and drug 6
use 7
From General Revenue Fund (1101) (one-time) ..........................................................$500,000 8
CCS SS SCS HCS HB 2011 28

Section 11.255. To the Department of Social Services 1
For the Family Support Division 2
For reimbursements to the federal government for federal Temporary 3
Assistance for Needy Families payments, refunds of bonds, 4
refunds of support payments or overpayments, and distributions 5
to families 6
From Department of Social Services Federal Fund (1610) .....................................$29,000,000 7
From Debt Offset Escrow Fund (1753) .......................................................................6,000,000 8

For the purpose of funding a program located in a city not within a county 9
that assists individuals with limited opportunities to self-10
sufficiency by breaking down ba rriers to self-sufficiency, 11
assisting survivors of domestic violence while fostering healthy 12
co-parenting relationships, reducing the rates of absentee fathers, 13
child development and strengthening families, all while creating 14
a safer and more inclusive community 15
From Temporary Assistance for Needy Families Federal Fund (1199) 16
(one-time) ................................................................................................. 250,000 17
Total .........................................................................................................................$35,250,000 18

Section 11.259. To the Department of Social Services 1
For the Family Support Division 2
For a nonprofit organization located in any county with more than four 3
hundred thousand but fewer than five hundred thousand 4
inhabitants whose mission is to pr ovide school districts' student 5
personnel with suicide prevention skills and awareness, training 6
on social media harassment a nd bullying interventions, and 7
mental health therapy resources 8
From Temporary Assistance for Needy Families Federal Fund (1199) 9
(one-time) ..........................................................................................................$200,000 10

Section 11.260. To the Department of Social Services 1
For the Family Support Division 2
Funds are to be transferred out of the State Treasury to the 3
Department of Social Services Federal Fund 4
From Debt Offset Escrow Fund (1753) ........................................................................$955,000 5

CCS SS SCS HCS HB 2011 29

Funds are to be transferred out of the State Treasury to the Child 6
Support Enforcement Fund 7
From Debt Offset Escrow Fund (1753) ............................................................... 245,000 8
Total ...........................................................................................................................$1,200,000 9

Section 11.265. To the Department of Social Services 1
For the Family Support Division 2
For the Office of Workforce and Community Initiatives 3
For administrative expenses 4
Personal Service 5
From General Revenue Fund (1101) ............................................................................$176,390 6
From Department of Social Services Federal Fund (1610) .........................................1,927,955 7
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,068,061 8
Total (Not to exceed 48.00 F.T.E.) ............................................................................$3,172,406 9

Section 11.266. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization locate d in a city not within a county 3
dedicated to educating, streng thening, and empowering women 4
and children affected by domestic violence 5
From Temporary Assistance for Needy Families Federal Fund (1199) 6
(one-time) ..........................................................................................................$500,000 7

Section 11.267. To the Department of Social Services 1
For the Family Support Division 2
For a 501(c)(3) non-prof it corporation with mo re than 30 employees, 3
formed in 1969, and located in a city with more than one hundred 4
sixty thousand but fewer than two hundred thousand inhabitants 5
for training, resources, and s upport to equip volunteers to tutor 6
and support student learning in public elementary schools 7
From Temporary Assistance for Needy Families Federal Fund (1199) 8
(one-time) ..........................................................................................................$150,000 9

Section 11.268. To the Department of Social Services 1
For the Family Support Division 2
For a non-profit organization located in any county with more than one 3
million inhabitants that assists abused and neglected women and 4
teens with support resources and community education to help 5
CCS SS SCS HCS HB 2011 30

them out of abusive environmen ts and promote a positive and 6
productive future 7
From General Revenue Fund (1101) (one-time) ..........................................................$200,000 8

Section 11.270. To the Department of Social Services 1
For the Family Support Division 2
For grants and contracts to Co mmunity Partnerships and other 3
community initiatives and related expenses, provided three 4
percent (3%) flexibility is allowe d from this section to Section 5
11.910 6
From General Revenue Fund (1101) .........................................................................$1,132,328 7
From Department of Social Services Federal Fund (1610) ..............................................78,307 8
From Temporary Assistance for Needy Families Federal Fund (1199) ......................7,025,492 9

For the Missouri Mentoring Partnership 10
From Department of Social Services Federal Fund (1610) ............................................935,000 11

For a program for adolescents w ith the goal of preventing teen 12
pregnancies 13
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 400,000 14
Total ...........................................................................................................................$9,571,127 15

Section 11.271. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit located in a county with more than one million 3
inhabitants which focuses on at risk and under-represented youth 4
and young adults provided the fundi ng is used for personal and 5
professional skills development, peer-mentoring services, and 6
training young adults to become mentor leaders 7
From General Revenue Fund (1101) (one-time) ............................................................$70,000 8

Section 11.275. To the Department of Social Services 1
For the Family Support Division 2
For the Missouri Work Assistance Program Unit 3
For Work Assistance Programs 4
From General Revenue Fund (1101) .........................................................................$1,855,554 5
From Temporary Assistance for Needy Families Federal Fund (1199) ....................12,017,755 6

For the Missouri SkillUp Program 7
CCS SS SCS HCS HB 2011 31

From Department of Social Services Federal Fund (1610) .........................................4,672,471 8
From Temporary Assistance for Needy Families Federal Fund (1199) ......................5,469,104 9

For the attendance of Supplementa l Nutrition Assistance Program 10
recipients at adult high schools as designated by the Department 11
of Elementary and Secondary Education 12
From Department of Social Services Federal Fund (1610) .........................................5,100,000 13

For the attendance of low-income i ndividuals at adult high schools as 14
designated by the Department of Elementary and Secondary 15
Education 16
From General Revenue Fund (1101) ...........................................................................2,000,000 17
From Temporary Assistance for Needy Families Federal Fund (1199) ......................6,400,000 18

For child care at adult high school locations 19
From General Revenue Fund (1101) ...........................................................................1,510,000 20

For Jobs for America’s Graduates 21
From Temporary Assistance for Needy Families Federal Fund (1199) ......................4,500,000 22

For a comprehensive c ounseling and solution ge neration service that 23
focuses on a multi-year journe y for high school students from 24
initial training to full-time employment with pre-identified entry 25
level jobs that drive the program’s training while earning a degree 26
relating to information technology, provided that th e service is 27
designed to assist with environm ental hurdles and with students 28
receiving accredited course credit from institutions for higher 29
education in the state of Missour i, and further provided that the 30
service includes a multi-year, wrap around support infrastructure 31
for each student that extends from the student’s acceptance into 32
the program through full time employment and continues until 33
the student completes a degree, if so requested by the program 34
participant, also known as HyperCare 35
From General Revenue Fund (1101) ...........................................................................1,250,000 36
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 1,750,000 37
Total .........................................................................................................................$46,524,88438

Section 11.280. To the Department of Social Services 1
For the Family Support Division 2
CCS SS SCS HCS HB 2011 32

For a healthy marriage and fatherhood initiative delivered by a Missouri 3
nonprofit corporation at multiple locations throughout the state 4
of Missouri with a primary office located in a city with more than 5
one hundred sixty thousand but fewer than two hundred thousand 6
inhabitants 7
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$500,000 8

Section 11.285. To the Department of Social Services 1
For the Family Support Division 2
For support to Food Banks’ effort to provide services and food to low- 3
income individuals 4
From Temporary Assistance for Needy Families Federal Fund (1199) ..................$10,000,000 5

For an evidence-based program th rough a school-based early warning 6
and response system that improves student attendance, behavior, 7
and course performance in readi ng and math by identifying the 8
root causes for student absentee ism, classroom disruption, and 9
course failure 10
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,500,000 11

For after school support programs 12
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,000,000 13

For out of school support programs 14
From Temporary Assistance for Needy Families Federal Fund (1199) ......................2,000,000 15

For a nonprofit organization serving youth for over twenty years that 16
enables young people to reach their full potential as productive, 17
caring, responsible citizens by providing a club experience, 18
including after school and summer programs that assures success 19
located in any city with more than sixteen thousand but fewer 20
than eighteen thousand inhabitants and that is the county seat of 21
a county with more than forty thousand but fewer than fifty 22
thousand inhabitants 23
From General Revenue Fund (1101) (one-time) .........................................................3,500,000 24

For a century-old viable non-profit entity located in a city not within a 25
county that annually serves over one hundred thousand clients 26
regionally in efforts to deescala te violence and offer conflict 27
mediation and connects nei ghborhood residents with the 28
CCS SS SCS HCS HB 2011 33

necessary viable resources and serv ices, in an effort to reduce 29
crime, violence, and to improve the quality of life 30
From Temporary Assistance for Needy Families Federal Fund (1199) 31
(one-time) ................................................................................................ 1,000,000 32
Total .........................................................................................................................$19,000,000 33

Section 11.286. To the Department of Social Services 1
For the Family Support Division 2
For a nonprofit organization founded in 2016 located in a city with more 3
than four hundred thousand inhabitants and located in more than 4
one county, that is providing access to fresh, affordable and 5
healthy foods to over 250,000 loca l residents experiencing food 6
insecurity 7
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$250,000 8

Section 11.290. To the Department of Social Services 1
For the Family Support Division 2
For out of school enrichment initiatives 3
Program Distribution 4
From Temporary Assistance for Needy Families Federal Fund (1199) ....................$7,000,000 5

Section 11.295. To the Department of Social Services 1
For the Family Support Division 2
For alternatives to abortion services , including the pr ovision of diapers 3
and other infant hygiene products to women who qualify for 4
alternative to abortion services, provided that if the Department 5
grants or allocates funds to certain not-for-profit organizations or 6
regions of the state that are unu sed or anticipated to be unused, 7
then the Department shall redistribute such funds to other not-for-8
profit organizations or regions of the state to ensure that all the 9
funds appropriated are available to serve women who qualify for 10
alternatives to abortion services , and further provided that the 11
Department shall not limit the amount that can be expended per 12
client 13
From General Revenue Fund (1101) .........................................................................$2,033,561 14
From Department of Social Services Federal Fund (1610) ..............................................50,000 15
From Temporary Assistance for Needy Families Federal Fund (1199) ....................10,300,000 16

CCS SS SCS HCS HB 2011 34

For the alternatives to abortion pu blic awareness program, including 17
assistance to contractors and subcontractors with the Department 18
for alternatives to abortion services, to help alternatives to 19
abortion agencies reach pregna nt women at risk for having 20
abortions when such agencies are blocked or in any other way 21
suppressed by any search engine, social media platform, or digital 22
advertising network 23
From General Revenue Fund (1101) ................................................................... 550,000 24
Total .........................................................................................................................$12,933,561 25

Section 11.297. To the Department of Social Services 1
For the Family Support Division 2
For funding a multi-model, on-dema nd, micro-transit pr ovision and/or 3
coordination in rural and suburban markets to enhance access to 4
health services (inc luding, without limitation, mental, physical, 5
dental health services and pharm aceutical services); workforce 6
development training, to incl ude educational opportunities, 7
apprenticeship programs, internships and other related workforce 8
programs and for mobility coordination, primarily for individuals 9
in areas of the state under-ser ved by existing public transit 10
services and routes 11
From General Revenue Fund (1101) (one-time) .......................................................$1,000,000 12

Section 11.300. To the Department of Social Services 1
For the Family Support Division 2
For grants to organizations that promote and facilitate adoptions, 3
maternity homes, diaper banks , and organizations providing 4
material support and other assistance to in dividuals facing an 5
unintended pregnancy to help those individuals give birth to their 6
unborn children 7
From General Revenue Fund (1101) .........................................................................$1,500,000 8

Section 11.305. To the Department of Social Services 1
For the Family Support Division 2
For a grant to an organization located in a city with more than thirty-six 3
thousand five hundred but fewer th an forty thousand inhabitants 4
that promotes and facilitates adoptions, maternity homes, 5
material support and other assistance to in dividuals facing an 6
CCS SS SCS HCS HB 2011 35

unintended pregnancy to help those individuals give birth to their 7
unborn children 8
From Temporary Assistance for Needy Families Federal Fund (1199) 9
(including $125,000 one-time)..........................................................................$625,000 10

Section 11.311. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit located in a city not within a county and founded in 3
1981, whose mission is to offer hope, empowerment, 4
compassion, hospitality and a chance for independence, to 5
provide substance abuse treatment support, family support 6
services, access to healthy foods and adequate shelter 7
From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$500,000 8

Section 11.320. To the Department of Social Services 1
For the Family Support Division 2
For community services programs provided by Community Action 3
Agencies or other not-for-p rofit organizations under the 4
provisions of the Community Services Block Grant 5
From Department of Social Services Federal Fund (1610) .....................................$23,437,056 6
Section 11.330. To the Department of Social Services 1
For the Family Support Division 2
For the Food Distribution Program, the receipt and disbursement of 3
Donated Food Program payments and for the Local Food 4
Purchase Assistance Cooperative Program 5
From Department of Social Services Federal Fund (1610) .......................................$6,777,682 6

Section 11.331. To the Department of Social Services 1
For the Family Support Division 2
For a transitional housing facility project for the homeless that is 3
expected to house between 15 and 20 people, and would include 4
laundry, internet, showers, a communal living space, and a 5
kitchen for the residents in a ny county with mo re than two 6
hundred thousand but fewer than two hundred thirty thousand 7
inhabitants 8
From General Revenue Fund (1101) (one-time) .......................................................$1,000,000 9

Section 11.335. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 36

For the Family Support Division 2
For the Low-Income Home Energy Assistance Program, provided the 3
eligible household income does not exceed one hundred and fifty 4
percent (150%) of the federal po verty level or sixty percent 5
(60%) of the state median income (SMI) 6
From Department of Social Services Federal Fund (1610) .....................................$93,620,002 7

Section 11.340. To the Department of Social Services 1
For the Family Support Division 2
For grants to not-for profit organi zations for services and programs to 3
assist victims of domestic violence, provided three percent (3%) 4
flexibility is allowed from this section to Section 11.910 5
From General Revenue Fund (1101) (including $1,000,000 one-time) ....................$5,000,000 6
From Department of Social Services Federal Fund (1610) .........................................3,000,000 7
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,600,000 8

For emergency shelter services to assist victims of domestic violence 9
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 562,137 10
Total .........................................................................................................................$10,162,137 11

Section 11.345. To the Department of Social Services 1
For the Family Support Division 2
For the Victims of Crime Act (VOCA) Unit 3
For the administrative expenses of the Victims of Crime Act program 4
Personal Service 5
From General Revenue Fund (1101) ..............................................................................$27,827 6

Personal Service ..................................................................................................286,501 7
Expense and Equipment ........................................................................... 100,049 8
From Victims of Crime Act Federal Fund (1146) ..........................................................386,550 9

For training and technical assistance expenses for the Victims of Crime 10
Act program 11
Expense and Equipment 12
From Victims of Crime Act Federal Fund (1146) ............................................... 500,000 13
Total (Not to exceed 5.00 F.T.E.) .................................................................................$914,377 14

Section 11.350. To the Department of Social Services 1
For the Family Support Division 2
CCS SS SCS HCS HB 2011 37

For the Office of Workforce & Community Initiatives 3
For the Victims of Crime Act (VOCA) Unit 4
For grants to not-for-profit organiza tions for services and programs to 5
assist victims of crime 6
From Victims of Crime Act Federal Fund (1146) ...................................................$33,864,755 7
From Missouri State Capitol Commission Capitol Preservation Fund 8
(1202) (one-time) ...................................................................................... 9,000,000 9
Total .........................................................................................................................$42,864,75510

Section 11.355. To the Department of Social Services 1
For the Family Support Division 2
For grants to not-for-profit organiza tions for services and programs to 3
assist victims of sexual assa ult, provided three percent (3%) 4
flexibility is allowed from this section to Section 11.910 5
From General Revenue Fund (1101) .........................................................................$1,750,000 6

Section 11.360. To the Department of Social Services 1
For the Children’s Division adminis trative expenses, provided three 2
percent (3%) flexibility is allowe d from this section to Section 3
11.910 4
Personal Service .............................................................................................$1,999,971 5
Expense and Equipment ........................................................................... 1,738,275 6
From General Revenue Fund (1101) ...........................................................................3,738,246 7

Personal Service ...............................................................................................1,915,795 8
Expense and Equipment ........................................................................... 1,031,094 9
From Department of Social Services Federal Fund (1610) .........................................2,946,889 10

Personal Service 11
From Temporary Assistance for Needy Families Federal Fund (1199) .........................944,470 12

Expense and Equipment 13
From Third Party Liability Collections Fund (1120) ........................................... 55,944 14
Total (Not to exceed 75.43 F.T.E.) ............................................................................$7,685,549 15

Section 11.365. To the Department of Social Services 1
For the Children’s Division 2
For the Residential Program Unit 3
Personal Service .............................................................................................$1,399,932 4
CCS SS SCS HCS HB 2011 38

Expense and Equipment ........................................................................... 158,212 5
From General Revenue Fund (1101) ...........................................................................1,558,144 6

Personal Service ..................................................................................................573,659 7
Expense and Equipment ........................................................................... 22,589 8
From Department of Social Services Federal Fund (1610) ................................. 596,248 9
Total (Not to exceed 33.00 F.T.E.) ............................................................................$2,154,392 10

Section 11.370. To the Department of Social Services 1
For the Children’s Division 2
For the Child Abuse and Neglect Hotline Unit 3
For administrative expenses, provided five percent (5%) flexibility is 4
allowed between personal service and expense and equipment 5
Personal Service .............................................................................................$5,467,887 6
Expense and Equipment ........................................................................... 163,666 7
From General Revenue Fund (1101) (Not to exceed 89.00 F.T.E.) ..........................$5,631,553 8

Section 11.375. To the Department of Social Services 1
For the Children’s Division, provided five percent (5%) flexibility is 2
allowed between personal servi ce and expense and equipment, 3
and further provided five percent (5%) flexibility is allowed from 4
Section 11.375 to 11.370, and further provided that fifty percent 5
(50%) flexibility is allowe d between Sections 11.375, 11.395, 6
and 11.400, and further provided three percent (3%) flexibility is 7
allowed from this section to Section 11.910 8
For the Children’s Division field staff and operations administrative 9
expenses 10
Personal Service ...........................................................................................$45,168,617 11
Expense and Equipment ........................................................................... 2,098,188 12
From General Revenue Fund (1101) .........................................................................47,266,805 13

Personal Service .............................................................................................42,952,511 14
Expense and Equipment ........................................................................... 3,192,497 15
From Department of Social Services Federal Fund (1610) .......................................46,145,008 16

Personal Service .............................................................................................14,812,919 17
Expense and Equipment ........................................................................... 1,818,397 18
From Temporary Assistance for Needy Families Federal Fund (1199) ....................16,631,316 19

Personal Service ....................................................................................................97,411 20
CCS SS SCS HCS HB 2011 39

Expense and Equipment ........................................................................... 35,558 21
From Health Initiatives Fund (1275) ..............................................................................132,969 22

For recruitment and retention services 23
From General Revenue Fund (1101) ..............................................................................613,496 24
From Department of Social Services Federal Fund (1610) ............................................550,504 25

For the expansion of a foster care portal software that can be accessed by 26
children’s division caseworkers, lic ensed foster families, foster 27
care licensure applicants, parents or guardians of children in 28
foster care, and other key pa rties to ensure streamlined 29
communication and information sharing 30
From General Revenue Fund (1101) ................................................................... 750,000 31
Total (Not to exceed 1,781.86 F.T.E.) ...................................................................$112,090,098 32

Section 11.380. To the Department of Social Services 1
For the Children's Division 2
For Psychotropic Medication Reviews 3
For administration to monitor and track prescribed and administered 4
psychotropic medications to ch ildren in the custody of the 5
Children's Division, assist in the collection of medical records, 6
ensure informed consent of family members, provide secondary 7
reviews to prevent excessive dosages, and administer pre-service 8
and annual training to foster car e case management staff and 9
resource providers 10
Personal Service ................................................................................................$250,134 11
Expense and Equipment ........................................................................... 45,768 12
From General Revenue Fund (1101) ..............................................................................295,902 13

Personal Service ....................................................................................................72,014 14
Expense and Equipment ........................................................................... 13,177 15
From Department of Social Services Federal Fund (1610) ..............................................85,191 16

Personal Service ....................................................................................................36,007 17
Expense and Equipment ........................................................................... 6,588 18
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 42,595 19
Total (Not to exceed 6.00 F.T.E.) .................................................................................$423,688 20

Section 11.385. To the Department of Social Services 1
For the Children's Division 2
CCS SS SCS HCS HB 2011 40

For tuition assistance 3
Expense and Equipment 4
From General Revenue Fund (1101) ..............................................................................$77,000 5

Expense and Equipment 6
From Department of Social Services Federal Fund (1610) ................................. 231,000 7
Total ..............................................................................................................................$308,000 8

Section 11.390. To the Department of Social Services 1
For the Children’s Division 2
For diligent search for relative placements 3
Personal Service ................................................................................................$749,220 4
Expense and Equipment ........................................................................... 150,906 5
From General Revenue Fund (1101) ..............................................................................900,126 6

Personal Service ..................................................................................................301,607 7
Expense and Equipment ........................................................................... 74,559 8
From Department of Social Services Federal Fund (1610) ................................. 376,166 9
Total (Not to exceed 24.00 F.T.E.) ............................................................................$1,276,292 10

Section 11.395. To the Department of Social Services 1
For the Children’s Division 2
For administrative expenses of the Family Centered Services (FCS) 3
program, provided five percent (5%) flexibility is allowed 4
between personal service and expense and equipment, and further 5
provided fifty percent (50%) fl exibility is allowed between 6
Sections 11.375, 11.395, and 11.400 7
Personal Service .............................................................................................$2,697,320 8
Expense and Equipment ........................................................................... 170,859 9
From General Revenue Fund (1101) ...........................................................................2,868,179 10

Personal Service ..................................................................................................805,879 11
Expense and Equipment ........................................................................... 65,681 12
From Department of Social Services Federal Fund (1610) ................................. 871,560 13

For grants to nonprofit organizati ons for statewide prevention and 14
education efforts concerning human trafficking through a 15
program that reaches public and charter schools 16
Expense and Equipment 17
CCS SS SCS HCS HB 2011 41

From General Revenue Fund (1101) (one-time) ................................................. 150,000 18
Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,889,73919

Section 11.400. To the Department of Social Services 1
For the Children’s Division 2
For the Team Decision Making (TDM) administrative expenses, 3
provided five percent (5%) flexibility is allowed between 4
personal service and expense and equipment, and further 5
provided fifty percent (50%) fl exibility is allowed between 6
Sections 11.375, 11.395, and 11.400 7
Personal Service .............................................................................................$2,730,173 8
Expense and Equipment ........................................................................... 174,962 9
From General Revenue Fund (1101) ...........................................................................2,905,135 10

Personal Service ..................................................................................................842,595 11
Expense and Equipment ........................................................................... 65,695 12
From Department of Social Services Federal Fund (1610) ................................. 908,290 13
Total (Not to exceed 20.00 F.T.E.) ............................................................................$3,813,425 14

Section 11.405. To the Department of Social Services 1
For the Children’s Division 2
For the development and integration of a new comprehensive child 3
welfare information system 4
From General Revenue Fund (1101) (one-time) .......................................................$6,345,000 5
From Department of Social Services Federal Fund (1610) (including 6
$4,545,000 one-time) .......................................................................................6,545,000 7
From Budget Stabilization Fund (1522) .............................................................. 4,888,153 8
Total .........................................................................................................................$17,778,153 9

Section 11.410. To the Department of Social Services 1
For the Children’s Division 2
For the Children's Division staff training, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.910 4
For administrative staff expenses 5
Personal Service ..................................................................................................$55,294 6
Expense and Equipment ........................................................................... 12,531 7
From General Revenue Fund (1101) ................................................................................67,825 8

Personal Service ....................................................................................................55,295 9
CCS SS SCS HCS HB 2011 42

Expense and Equipment ........................................................................... 12,531 10
From Department of Social Services Federal Fund (1610) ..............................................67,826 11

Personal Service ....................................................................................................12,288 12
Expense and Equipment ........................................................................... 2,786 13
From Temporary Assistance for Needy Families Federal Fund (1199) ...........................15,074 14
For contracted training expenses 15
Expense and Equipment 16
From General Revenue Fund (1101) ...........................................................................1,087,513 17
From Department of Social Services Federal Fund (1610) ................................. 590,243 18
Total (Not to exceed 2.00 F.T.E.) ..............................................................................$1,828,481 19

Section 11.415. To the Department of Social Services 1
For the Children’s Division 2
For a statewide specialist focused on prevention and response to sex 3
trafficking and sexual exploitation of children and for services for 4
child victims, provided five per cent (5%) flexibility is allowed 5
between personal services and expense and equipment 6
Personal Service ..................................................................................................$63,586 7
Expense and Equipment ........................................................................... 7,053 8
From General Revenue Fund (1101) ................................................................................70,639 9

Personal Service ....................................................................................................37,345 10
Expense and Equipment ........................................................................... 4,141 11
From Department of Social Services Federal Fund (1610) ................................. 41,486 12
Total (Not to exceed 1.00 F.T.E.) .................................................................................$112,125 13

Section 11.420. To the Department of Social Services 1
For the Children’s Division 2
For the Birth Match Program as set forth in Section, 210.156 RSMo. 3
Personal Service 4
From Temporary Assistance for Needy Families Federal Fund (1199) .......................$110,755 5

Program Distribution 6
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 258,065 7
Total (Not to exceed 2.00 F.T.E.) .................................................................................$368,820 8

Section 11.421. To the Department of Social Services 1
For the Children’s Division 2
CCS SS SCS HCS HB 2011 43

For foster care treatment costs in an outdoor learning foster care program 3
that is licensed or accredited for treatment programming with the 4
reimbursement rate for this service determined by a cost study for 5
payment in addition to other serv ice rates for the foster child, 6
provided that such re imbursement rate sh all not exceed the 7
appropriation authority, and further provided that no funds shall 8
be expended to any vendor who fails to report a crime as required 9
by law and/or failed to remove an employee from duties related 10
to the treatment program upon be coming aware of a charge or 11
indictment 12
From General Revenue Fund (1101) ............................................................................$183,385 13
From Department of Social Services Federal Fund (1610) ................................. 316,615 14
Total ..............................................................................................................................$500,000 15

Section 11.425. To the Department of Social Services 1
For the Children’s Division, provided ten percent (10%) flexibility is 2
allowed between Sections 11.090, 11.425, 11.435, 11.445, 3
11.455, 11.460, 11.485, 11.495, and 11.500, and further provided 4
three percent (3%) flexibility is allowed from this section to 5
Section 11.910 6
For children’s treatment services including, but not limited to, home 7
based services, day treatment services, preventive services, 8
family reunification services, or intensive in-home services 9
From General Revenue Fund (1101) .......................................................................$15,268,036 10
From Department of Social Services Federal Fund (1610) .......................................15,796,892 11
From Title XIX Department of Social Services Medicaid Assistance 12
Federal Fund (1163) ..............................................................................................50,000 13
From Temporary Assistance for Needy Families Federal Fund (1199) .........................425,286 14

For crisis care 15
From General Revenue Fund (1101) ................................................................... 2,316,000 16
Total .........................................................................................................................$33,856,214 17

Section 11.430. To the Department of Social Services 1
For the Children’s Division 2
For court ordered drug testing 3
Expense and Equipment 4
From General Revenue Fund (1101) ............................................................................$578,763 5
From Department of Social Services Federal Fund (1610) ................................. 118,924 6
CCS SS SCS HCS HB 2011 44

Total ..............................................................................................................................$697,687 7

Section 11.435. To the Department of Social Services 1
For the Children’s Division 2
For foster care placement special expenses, respite services, and 3
transportation expenses; expenses related to training of foster 4
parents, provided ten percent (10%) flexibility is allowed 5
between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 6
11.460, 11.485, 11.495, and 11.500 7
From General Revenue Fund (1101) .........................................................................$3,559,911 8
From Department of Social Services Federal Fund (1610) ............................................952,323 9
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,052,169 10

For awards to licensed community-b ased foster care and adoption 11
recruitment programs 12
From Foster Care and Adoptive Parents Recruitment and Retention Fund 13
(1979) ....................................................................................................... 15,000 14
Total ...........................................................................................................................$5,579,403 15

Section 11.440. To the Department of Social Services 1
For the Children's Division 2
For a 501(c)(3) not-for-profit corporation with more than 25 employees, 3
formed in 1991, with multiple of fice locations, and a principal 4
office located in a city with mo re than one hundr ed twenty-five 5
thousand but fewer than one hundr ed sixty thousand inhabitants 6
that primarily provides licensing, training, and advocacy of foster 7
parents, and operates a foster care neighborhood 8
From General Revenue Fund (1101) (including $500,000 one-time) ..........................$750,000 9

Section 11.445. To the Department of Social Services 1
For the Children’s Division 2
For foster care maintenance paym ents, provided ten percent (10%) 3
flexibility is allowed be tween Sections 11.090, 11.425, 11.435, 4
11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 5
From General Revenue Fund (1101) .......................................................................$53,077,630 6
From Department of Social Services Federal Fund (1610) .......................................20,500,957 7
From Temporary Assistance for Needy Families Federal Fund (1199) ....................20,314,073 8
From Alternative Care Trust Fund (1905) ........................................................... 2,000,000 9
Total .........................................................................................................................$95,892,660 10
CCS SS SCS HCS HB 2011 45

Section 11.450. To the Department of Social Services 1
For the Children’s Division 2
For room and board expenses for children placed in a Therapeutic Foster 3
Care (TFC) home setting 4
From General Revenue Fund (1101) .........................................................................$3,566,746 5
From Department of Social Services Federal Fund (1610) ................................. 1,902,621 6
Total ...........................................................................................................................$5,469,367 7

Section 11.455. To the Department of Social Services 1
For the Children’s Division 2
For room and board expenses for children placed in Qualified Residential 3
Treatment Program designated facilities, provided twenty 4
percent (20%) flexibility is allowed between subsections within 5
this section, and further provided ten percent (10%) flexibility is 6
allowed between Sections 11.090, 11.425, 11.435, 11.445, 7
11.455, 11.460, 11.485, 11.495, and 11.500, and further provided 8
ten percent (10%) flexibility is allowed between Sections 11.455, 9
11.460, and 11.755 10
For placements in a Qualified Re sidential Treatme nt Program/non- 11
Institution for Mental Disease (QRTP/non-IMD) designated 12
facilities 13
From General Revenue Fund (1101) .......................................................................$16,431,325 14
From Department of Social Services Federal Fund (1610) .........................................5,840,312 15

For placements in Qualified Residential Treatment Programs/Institution 16
for Mental Disease (QRTP/IMD) designated facilities 17
From General Revenue Fund (1101) ...........................................................................5,028,471 18
From Department of Social Services Federal Fund (1610) ................................. 841,752 19
Total .........................................................................................................................$28,141,860 20

Section 11.460. To the Department of Social Services 1
For the Children’s Division 2
For residential treatment placements and therapeutic treatment services; 3
and for the diversion of children from inpatient psychiatric 4
treatment and services provi ded through comprehensive, 5
expedited permanency systems of care for children and families, 6
provided five percent (5%) flexibility is allowed between 7
Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 8
CCS SS SCS HCS HB 2011 46

11.495, and 11.500, and further provi ded ten percent (10%) 9
flexibility is allowed be tween Sections 11.455, 11.460, and 10
11.755 11
From General Revenue Fund (1101) .......................................................................$22,594,667 12
From Department of Social Services Federal Fund (1610) .........................................7,310,026 13
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 13,351,973 14
Total .........................................................................................................................$43,256,666 15

Section 11.465. To the Department of Social Services 1
For the Children’s Division 2
For contractual payments for expenses related to training of foster 3
parents 4
From General Revenue Fund (1101) ............................................................................$603,513 5
From Department of Social Services Federal Fund (1610) ................................. 372,934 6
Total ..............................................................................................................................$976,447 7

Section 11.470. To the Department of Social Services 1
For the Children’s Division 2
For foster parent support 3
Expense and Equipment 4
From General Revenue Fund (1101) .........................................................................$2,208,037 5
From Department of Social Services Federal Fund (1610) ................................. 1,246,315 6
Total ...........................................................................................................................$3,454,352 7

Section 11.475. To the Department of Social Services 1
For the Children’s Division 2
For costs associated with attending post-secondary education including, 3
but not limited to tuition, books, fees, room and board for current 4
or former foster youth, provided three percent (3%) flexibility is 5
allowed from this section to Section 11.910 6
From General Revenue Fund (1101) ............................................................................$188,848 7
From Department of Social Services Federal Fund (1610) .........................................1,050,000 8
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 450,000 9
Total ...........................................................................................................................$1,688,848 10

Section 11.480. To the Department of Social Services 1
For the Children’s Division 2
For comprehensive case manageme nt contracts through community 3
based organizations as described in Section 210.112, RSMo; the 4
CCS SS SCS HCS HB 2011 47

purpose of these contracts shall be to provide a system of care for 5
children living in foster care, independent living, or residential 6
care settings; services eligible under this provision may include, 7
but are not limited to, case mana gement, foster care, residential 8
treatment, intensive in-home se rvices, family reunification 9
services, and specialized recruitm ent and training of foster care 10
families, provided three percent (3%) flexibility is allowed from 11
this section to Section 11.910 12
From General Revenue Fund (1101) .......................................................................$35,251,584 13
From Department of Social Services Federal Fund (1610) ................................. 27,685,931 14
Total .........................................................................................................................$62,937,515 15

Section 11.485. To the Department of Social Services 1
For the Children’s Division 2
For adoption subsidy payments, provided ten percent (10%) flexibility is 3
allowed between subsections within this section, and further 4
provided five percent (5%) flexibility is allowed between 5
Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 6
11.495, and 11.500 7
From General Revenue Fund (1101) .......................................................................$54,682,297 8
From Department of Social Services Federal Fund (1610) .......................................52,523,879 9
From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,439,396 10

For guardianship subsidy paymen ts, provided ten percent (10%) 11
flexibility is allowed between subsections within this section, and 12
further provided five percent (5%) flexibility is allowed between 13
Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 14
11.495, and 11.500 15
From General Revenue Fund (1101) .........................................................................19,947,541 16
From Department of Social Services Federal Fund (1610) .......................................15,798,651 17
From Temporary Assistance for Needy Families Federal Fund (1199) .............. 11,860,598 18
Total .......................................................................................................................$169,252,362 19

Section 11.490. To the Department of Social Services 1
For the Children’s Division 2
For kinship navigator services 3
Program Distribution 4
From Department of Social Services Federal Fund (1610) ..........................................$372,318 5

CCS SS SCS HCS HB 2011 48

Section 11.495. To the Department of Social Services 1
For the Children's Division, provided five percent (5%) flexibility is 2
allowed between Sections 11.090, 11.425, 11.435, 11.445, 3
11.455, 11.460, 11.485, 11.495, and 11.500 4
For Family Resource Centers 5
From General Revenue Fund (1101) .......................................................................$10,403,564 6
From Department of Social Services Federal Fund (1610) .......................................14,383,316 7
From Temporary Assistance for Needy Families Federal Fund (1199) .........................989,075 8

For additional Behavioral Intervention Services in areas of need 9
From Department of Social Services Federal Fund (1610) ................................. 900,000 10
Total .........................................................................................................................$26,675,955 11

Section 11.500. To the Department of Social Services 1
For the Children’s Division 2
For independent living placements and transitional living services, 3
provided five percent (5%) flexibility is allowed between 4
Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 5
11.495, and 11.500 6
From General Revenue Fund (1101) .........................................................................$1,947,584 7
From Department of Social Services Federal Fund (1610) ................................. 4,171,219 8
Total ...........................................................................................................................$6,118,803 9

Section 11.505. To the Department of Social Services 1
For the Children’s Division 2
For Regional Child Assessment Center s, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.910 4
From General Revenue Fund (1101) .........................................................................$2,249,475 5
From Department of Social Services Federal Fund (1610) .........................................1,700,000 6
From Health Initiatives Fund (1275) ................................................................... 501,048 7
Total ...........................................................................................................................$4,450,523 8

Section 11.510. To the Department of Social Services 1
For the Children’s Division 2
For Regional Child Assessment Centers 3
For services and programs admi nistered through the statewide 4
association of Regional Child Assessment Centers aimed at 5
preventing and combating the commercial sexual exploitation of 6
children 7
CCS SS SCS HCS HB 2011 49

From General Revenue Fund (1101) ............................................................................$500,000 8

Section 11.515. To the Department of Social Services 1
For the Children’s Division 2
For residential placement payments to counties for children in the 3
custody of juvenile courts 4
From Department of Social Services Federal Fund (1610) ..........................................$175,000 5

Section 11.520. To the Department of Social Services 1
For the Children’s Division 2
For Court Appointed Special Advocate (CASA) IV-E allowable training 3
costs 4
From Department of Social Services Federal Fund (1610) ..........................................$150,000 5

Section 11.525. To the Department of Social Services 1
For the Children’s Division 2
For the Child Abuse and Neglect Prevention Grant and Children’s Justice 3
Act Grant 4
From Department of Social Services Federal Fund (1610) .......................................$1,251,341 5

Section 11.530. To the Department of Social Services 1
For the Children's Division 2
For payments to one or more contr actors to assist the Division with 3
application and administration of benefits on behalf of a child or 4
youth and to establish and admin ister accounts for a child or 5
youth which include but not limite d to a special needs trust, a 6
pooled special needs trust, an ABLE account, or any other trust 7
account 8
From General Revenue Fund (1101) .........................................................................$1,356,992 9
From Department of Social Services Federal Fund (1610) ................................. 507,008 10
Total ...........................................................................................................................$1,864,000 11

Section 11.535. To the Department of Social Services 1
For the Children’s Division 2
For transactions involving personal f unds of children to: transfer funds 3
to accounts set up for the child; to make payments directly to the 4
child; to return the funds to the corresponding funding agency; to 5
fund "Unmet needs", needs for which the division is not required 6
CCS SS SCS HCS HB 2011 50

by law to provide financial suppor t; or dispose of the funds as 7
otherwise required by law 8
From Alternative Care Trust Fund (1905) ...............................................................$12,000,000 9

Section 11.540. To the Department of Social Services 1
For the Division of Youth Services 2
For the Central Office and regional offices, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.910 4
Personal Service .............................................................................................$1,104,048 5
Expense and Equipment ........................................................................... 81,097 6
From General Revenue Fund (1101) ...........................................................................1,185,145 7

Personal Service ..................................................................................................262,539 8
Expense and Equipment ........................................................................... 13,855 9
From Title XIX Department of Social Services Medicaid Assistance 10
Federal Fund (1163) ............................................................................................276,394 11

Personal Service ..................................................................................................984,541 12
Expense and Equipment ........................................................................... 86,779 13
From Temporary Assistance for Needy Families Federal Fund (1199) ......................1,071,320 14

Expense and Equipment 15
From Youth Services Treatment Fund (1843) ..................................................... 999 16
Total (Not to exceed 39.30 F.T.E.) ............................................................................$2,533,858 17

Section 11.545. To the Department of Social Services 1
For the Division of Youth Services 2
For treatment services, in cluding foster care an d contractual payments, 3
provided up to $500,000 can be used for juvenile court diversion, 4
provided ten percent (10%) flexibility is allowed between federal 5
funds, and further provided five percent (5%) flexibility is 6
allowed between personal servi ce and expense and equipment, 7
and further provided three percen t (3%) flexibility is allowed 8
from this section to Section 11.910 9
Personal Service ...........................................................................................$25,775,382 10
Expense and Equipment ........................................................................... 1,095,642 11
From General Revenue Fund (1101) .........................................................................26,871,024 12

Personal Service ...............................................................................................5,257,097 13
CCS SS SCS HCS HB 2011 51

Expense and Equipment ........................................................................... 3,065,899 14
From Title XIX Department of Social Services Medicaid Assistance 15
Federal Fund (1163) .........................................................................................8,322,996 16

Personal Service ...............................................................................................1,149,407 17
Expense and Equipment ........................................................................... 1,125,033 18
From Department of Social Services Federal Fund (1610) .........................................2,274,440 19

Personal Service .............................................................................................13,190,742 20
Expense and Equipment ........................................................................... 1,514,715 21
From Temporary Assistance for Needy Families Federal Fund (1199) ....................14,705,457 22

Personal Service ...............................................................................................3,999,304 23
Expense and Equipment ........................................................................... 3,854,832 24
From Department of Social Services Educational Improvement Fund 25
(1620) ...............................................................................................................7,854,136 26

Personal Service ..................................................................................................178,072 27
Expense and Equipment ........................................................................... 9,106 28
From Health Initiatives Fund (1275) ..............................................................................187,178 29

Expense and Equipment 30
From Youth Services Products Fund (1764) ......................................................................5,000 31

For overtime to non-exempt state employees and/or for paying otherwise 32
authorized personal service expenditures in lieu of such overtime 33
payments; non-exempt state em ployees identified by Section 34
105.935, RSMo, will be paid first with any remaining funds to be 35
used to pay overtime to any other state employees 36
From General Revenue Fund (1101) ...........................................................................1,133,414 37

For payment distribution of Social S ecurity benefits received on behalf 38
of youth in care 39
From Division of Youth Services Child Benefits Fund (1727) ........................... 200,000 40
Total (Not to exceed 1,016.38 F.T.E.) .....................................................................$61,553,645 41

Section 11.550. To the Department of Social Services 1
For the Division of Youth Services 2
CCS SS SCS HCS HB 2011 52

For incentive payments to counties for community-based treatment 3
programs for youth, provided three percent (3%) flexibility is 4
allowed from this section to Section 11.910 5
From General Revenue Fund (1101) .........................................................................$3,479,486 6
From Gaming Commission Fund (1286) ............................................................. 500,000 7
Total ...........................................................................................................................$3,979,486 8

Section 11.600. To the Department of Social Services 1
For the MO HealthNet Division 2
For administrative services, provided three percent (3%) flexibility is 3
allowed from this section to Section 11.910 4
Personal Service .............................................................................................$5,035,508 5
Expense and Equipment ........................................................................... 6,452,304 6
From General Revenue Fund (1101) .........................................................................11,487,812 7

Personal Service ...............................................................................................8,983,345 8
Expense and Equipment ........................................................................... 14,312,317 9
From Department of Social Services Federal Fund (1610) .......................................23,295,662 10

Personal Service ..................................................................................................555,338 11
Expense and Equipment ........................................................................... 55,553 12
From Pharmacy Rebates Fund (1114) ............................................................................610,891 13

Personal Service ..................................................................................................528,593 14
Expense and Equipment ........................................................................... 5,988,041 15
From Third Party Liability Collections Fund (1120) ...................................................6,516,634 16

Personal Service ..................................................................................................135,943 17
Expense and Equipment ........................................................................... 232,708 18
From Federal Reimbursement Allowance Fund (1142) .................................................368,651 19

Personal Service ....................................................................................................34,086 20
Expense and Equipment ........................................................................... 356 21
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................34,442 22

Personal Service ..................................................................................................113,122 23
Expense and Equipment ........................................................................... 10,281 24
From Nursing Facility Quality of Care Fund (1271) ......................................................123,403 25

Personal Service ..................................................................................................566,877 26
CCS SS SCS HCS HB 2011 53

Expense and Equipment ........................................................................... 41,385 27
From Health Initiatives Fund (1275) ..............................................................................608,262 28

Personal Service ....................................................................................................57,920 29
Expense and Equipment ........................................................................... 425,372 30
From Ground Emergency Medical Transportation Fund (1422) ....................................483,292 31

Expense and Equipment 32
From Life Sciences Research Trust Fund (1763) ...............................................................3,000 33

Personal Service 34
From Missouri Rx Plan Fund (1779) ..............................................................................443,129 35

Personal Service ....................................................................................................23,682 36
Expense and Equipment ........................................................................... 878,466 37
From Ambulance Service Reimbursement Allowance Fund (1958) ................... 902,148 38
Total (Not to exceed 239.70 F.T.E.) ........................................................................$44,877,326 39

Section 11.605. To the Department of Social Services 1
For the MO HealthNet Division 2
For clinical services management related to the administration of the MO 3
HealthNet Pharmacy fee-for-service and managed care programs 4
and administration of the Miss ouri Rx Plan, provided three 5
percent (3%) flexibility is allowe d from this section to Section 6
11.910 7
Expense and Equipment 8
From General Revenue Fund (1101) ............................................................................$450,191 9
From Department of Social Services Federal Fund (1610) .........................................2,214,032 10
From Pharmacy Rebates Fund (1114) ............................................................................497,648 11
From Third Party Liability Collections Fund (1120) ......................................................924,911 12
From Missouri Rx Plan Fund (1779) ................................................................... 62,947 13
Total ...........................................................................................................................$4,149,729 14

Section 11.610. To the Department of Social Services 1
For the MO HealthNet Division 2
For MO HealthNet Transformation initiatives 3
Personal Service ................................................................................................$447,214 4
Expense and Equipment ........................................................................... 1,460,009 5
From General Revenue Fund (1101) ...........................................................................1,907,223 6

CCS SS SCS HCS HB 2011 54

Personal Service ..................................................................................................449,717 7
Expense and Equipment ........................................................................... 6,064,965 8
From Department of Social Services Federal Fund (1610) .........................................6,514,682 9

For costs to assess exis ting health data systems and establish a unified, 10
statewide health data standa rd and governance approach to 11
support data sharing and modernization efforts across state health 12
agencies 13
Expense and Equipment 14
From General Revenue Fund (1101) (one-time) .........................................................1,495,000 15

For purposes of a NEMT program redesign, including analysis and 16
implementation support, to ensure efficiency and accountability 17
in the operations of NEMT, and for the purposes of a rapid 18
response review of the Medicaid program for Fraud, Waste and 19
Abuse current state and recommendations 20
Personal Service ....................................................................................................55,419 21
Expense and Equipment (including $1,652,789 one-time) ...................... 1,659,128 22
From General Revenue Fund (1101) ...........................................................................1,714,547 23

Personal Service ....................................................................................................43,543 24
Expense and Equipment (including $1,652,192 one-time) ...................... 1,657,173 25
From Department of Social Services Federal Fund (1610) ................................. 1,700,716 26
Total (Not to exceed 14.00 F.T.E.) ..........................................................................$13,332,168 27

Section 11.615. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Rural Health Transformatio n Program, provided twenty five 3
percent (25%) flexibility is allowed between subsections within 4
this section 5
For the Rural Health Transformation Office 6
For Administrative Expenses 7
Personal Service .............................................................................................$1,095,992 8
Expense and Equipment ............................................................................ 209,074 9
From Rural Health Transformation Fund (1125) .........................................................1,305,066 10

For Regional Coordinating Networks and Local Community Hubs 11
Program Distribution 12
From Rural Health Transformation Fund (1125) .......................................................46,200,267 13

CCS SS SCS HCS HB 2011 55

For Alternative Payment Models and Shared-Savings Models 14
Program Distribution 15
From Rural Health Transformation Fund (1125) .......................................................22,520,316 16

For digital backbone to create statewide interoperability 17
Program Distribution 18
From Rural Health Transformation Fund (1125) .......................................................62,494,555 19

For Rural Health Workforce Programs 20
Program Distribution 21
From Rural Health Transformation Fund (1125) .......................................................17,877,529 22

For continuing medical education of physicians that will be required to 23
obtain one (1) hour of nutriti onal training from 20 CSR 2150-24
2.125 25
Program Distribution 26
From Rural Health Transformation Fund (1125) .........................................................1,000,000 27

For Provider Transformation 28
Program Distribution 29
From Rural Health Transformation Fund (1125) ................................................. 64,879,085 30
Total (Not to exceed 13.46 F.T.E.) ........................................................................$216,276,818 31

Section 11.620. To the Department of Social Services 1
For the MO HealthNet Division 2
For the MO HealthNet Data Management Office administrative expenses 3
Personal Service ................................................................................................$225,394 4
Expense and Equipment ........................................................................... 9,541 5
From General Revenue Fund (1101) ..............................................................................234,935 6

Personal Service ..................................................................................................453,477 7
Expense and Equipment .......................................................................... 23,632 8
From Department of Social Services Federal Fund (1610) ................................. 477,109 9
Total (Not to exceed 10.00 F.T.E.) ...............................................................................$712,04410

Section 11.625. To the Department of Social Services 1
For the MO HealthNet Division 2
For fees associated with third-pa rty collections a nd other revenue 3
maximization cost avoidance fees 4
Expense and Equipment 5
CCS SS SCS HCS HB 2011 56

From Department of Social Services Federal Fund (1610) .....................................$12,200,000 6
From Third Party Liability Collections Fund (1120) ........................................... 12,200,000 7
Total .........................................................................................................................$24,400,000 8

Section 11.629. To the Department of Social Services 1
For the MO HealthNet Division 2
For contracted staff to support th e procurement, implementation, and 3
oversight of modular Medicaid enterprise systems, including 4
planning, procurement, transiti on, and vendor management 5
activities 6
Personal Service ..................................................................................................$79,984 7
Expense and Equipment ........................................................................... 10,380 8
From General Revenue Fund (1101) ................................................................................90,364 9

Personal Service ..................................................................................................466,825 10
Expense and Equipment ........................................................................... 24,220 11
From Department of Social Services Federal Fund (1610) ................................. 491,045 12
Total (Not to exceed 8.00 F.T.E.) .................................................................................$581,409 13

Section 11.630. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Missouri Medicaid Information System (MMIS) 3
For the operation of the information systems, provided ten percent (10%) 4
flexibility is allowed between subsections within this section, and 5
further provided three percent (3%) flexibility is allowed from 6
this section to Section 11.910 7
Expense and Equipment 8
From General Revenue Fund (1101) (including $125,000 one-time) .......................$1,125,000 9
From Department of Social Services Federal Fund (1610) 10
(including $375,000 one-time) .........................................................................1,375,000 11
From Uncompensated Care Fund (1108) ........................................................................430,000 12
From Health Initiatives Fund (1275) ...........................................................................1,591,687 13

For the operation of the Business Intelligence Solution – Enterprise Data 14
Warehouse (BIS-EDW) 15
Expense and Equipment 16
From General Revenue Fund (1101) ...........................................................................1,991,593 17
From Department of Social Services Federal Fund (1610) .........................................7,770,710 18

CCS SS SCS HCS HB 2011 57

For the operation of the Beneficiar y Support and Premiums Collections 19
Solution and Services (BSPC) – Enrollment Broker and the 20
procurement of a MMIS Enrollment Broker Solution 21
Expense and Equipment 22
From General Revenue Fund (1101) ...........................................................................4,812,763 23
From Department of Social Services Federal Fund (1610) .........................................8,934,245 24

For the operation of the Clinical Management Services and Pharmacy 25
Claims and Prior Authorization (CMSP) and the procurement of 26
a MMIS Prior Authorization Solution and Interoperability Rule 27
Expense and Equipment 28
From General Revenue Fund (1101) ...........................................................................6,517,762 29
From Department of Social Services Federal Fund (1610) .......................................25,657,641 30

For the operation of the pharmac y system and support services - 31
Pharmacy Solution 32
Expense and Equipment 33
From General Revenue Fund (1101) ...........................................................................1,477,652 34
From Department of Social Services Federal Fund (1610) .......................................12,567,081 35

For the operation of the Managed Care Contract Management Tool 36
Expense and Equipment 37
From General Revenue Fund (1101) ..............................................................................688,826 38
From Department of Social Services Federal Fund (1610) .........................................5,833,540 39

For the MMIS Fiscal Agent Contract and the procurement of a MMIS 40
Core Claims Solution 41
Expense and Equipment 42
From General Revenue Fund (1101) .........................................................................27,493,017 43
From Department of Social Services Federal Fund (1610) .......................................85,755,382 44

For the operation of the MMIS EVV Aggregator Solution (EAS) and the 45
procurement of a MMIS EVV Solution 46
Expense and Equipment 47
From General Revenue Fund (1101) ...........................................................................1,841,186 48
From Department of Social Services Federal Fund (1610) .........................................7,835,958 49

For transition services related to the procurement of MMIS solutions 50
Expense and Equipment 51
From General Revenue Fund (1101) ...........................................................................2,442,192 52
CCS SS SCS HCS HB 2011 58

From Department of Social Services Federal Fund (1610) ................................. 21,979,722 53
Total .......................................................................................................................$228,120,957 54

Section 11.635. To the Department of Social Services 1
For the MO HealthNet Division 2
For the purpose of supporting the transformation of any or all of the 3
state's existing Health Information Exchanges into a Health Data 4
Utility by providing funds to enhance the existing HIE 5
infrastructure for the purpose of data analysis focused on 6
supporting MO HealthNet. Data an alytics provided through the 7
HIE(s) shall provide analysis to MO HealthNet and members 8
focused on enhancing care delivery and system efficiency in the 9
MO HealthNet program and impr oving health care delivery and 10
outcomes in under-served commun ities. All HIEs shall be 11
required to maintain strict comp liance with all patient privacy 12
protections under HIPAA and any other applicable state or 13
federal laws 14
From General Revenue Fund (1101) .........................................................................$5,000,000 15
From Department of Social Services Federal Fund (1610) ................................. 45,000,000 16
Total .........................................................................................................................$50,000,000 17

Section 11.640. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Money Follows the Person Program 3
From Department of Social Services Federal Fund (1610) .......................................$1,532,549 4

Section 11.700. To the Department of Social Services 1
For the MO HealthNet Division, provided three percent (3%) flexibility 2
is allowed from this section to Section 11.910 3
For pharmaceutical payments under th e MO HealthNet fee-for-service 4
program, professional fees for pharmacists, and for a 5
comprehensive chronic care risk management program, provided 6
ten percent (10%) flexibility is allowed between this subsection 7
and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 8
11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, 9
and 11.840 10
From General Revenue Fund (1101) .....................................................................$112,672,971 11
From Title XIX Department of Social Services Medicaid Assistance 12
Federal Fund (1163) .....................................................................................904,447,912 13
CCS SS SCS HCS HB 2011 59

From Pharmacy Rebates Fund (1114) .....................................................................260,835,622 14
From Third Party Liability Collections Fund (1120) ...................................................4,217,574 15
From Pharmacy Reimbursement Allowance Fund (1144) ........................................35,376,122 16
From Health Initiatives Fund (1275) ...........................................................................3,543,350 17
From Premium Fund (1885) ........................................................................................3,800,000 18

For Medicare Part D Clawback payments, provided ten percent (10%) 19
flexibility is allowed between this subsection and Sections 20
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 21
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 22
From General Revenue Fund (1101) ................................................................... 393,562,240 23
Total ....................................................................................................................$1,718,455,79124

Section 11.705. To the Department of Social Services 1
For the MO HealthNet Division 2
For the purpose of funding pharmaceutical payments under the Missouri 3
Rx Plan authorized by Sections 208.780 through 208.798, RSMo 4
From General Revenue Fund (1101) .........................................................................$5,186,226 5
From Missouri Rx Plan Fund (1779) ................................................................... 1,188,774 6
Total ...........................................................................................................................$6,375,0007

Section 11.710. To the Department of Social Services 1
For the MO HealthNet Division 2
For Pharmacy Reimbursement Allowance payments as provided by law 3
From Title XIX Department of Social Services Medicaid Assistance 4
Federal Fund (1163) .......................................................................................$8,390,850 5
From Pharmacy Reimbursement Allowance Fund (1144) ................................. 4,609,150 6
Total .........................................................................................................................$13,000,000 7

Section 11.715. To the Department of Social Services 1
For the MO HealthNet Division 2
For physician services and related services including, but not limited to, 3
clinic and podiatry services, te lemedicine services, physician 4
sponsored services and fees, laboratory and x-ray services, 5
asthma related services, diabetes prevention and obesity related 6
services, services provided by chiropractic physicians, and 7
family planning services under the MO HealthNet fee-for-service 8
program, and for a comprehensive chronic care risk management 9
program, and Major Medical Prio r Authorization, provided ten 10
CCS SS SCS HCS HB 2011 60

percent (10%) flexibility is allowed between this subsection and 11
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 12
11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 13
11.840 14
From General Revenue Fund (1101) .....................................................................$215,794,227 15
From Title XIX Department of Social Services Medicaid Assistance 16
Federal Fund (1163) .....................................................................................405,519,822 17
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................10,000 18
From Health Initiatives Fund (1275) ...........................................................................1,427,081 19
From Third Party Liability Collections Fund (1120) ......................................................241,046 20

For payment of physician and related services to Certified Community 21
Behavioral Health Organiza tions (CCBHO), provided that 22
Applied Behavioral Analysis (ABA) services are included in the 23
CCBHO Prospective Payment System 24
From General Revenue Fund (1101) .........................................................................50,329,761 25
From Title XIX Department of Social Services Medicaid Assistance 26
Federal Fund (1163) ................................................................................. 56,716,924 27
Total .......................................................................................................................$730,038,861 28

Section 11.720. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Program for All-Inclusive Care for the Elderly (PACE), provided 3
ten percent (10%) flexibility is allowed between this subsection 4
and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 5
11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, 6
and 11.840 7
From General Revenue Fund (1101) .........................................................................$5,566,850 8
From Title XIX Department of Social Services Medicaid Assistance 9
Federal Fund (1163) ................................................................................. 9,871,070 10
Total .........................................................................................................................$15,437,92011

Section 11.725. To the Department of Social Services 1
For the MO HealthNet Division 2
For dental services under the MO HealthNet fee-for-service program, 3
including adult dental procedur e codes (Tier 1-6), provided ten 4
percent (10%) flexibility is allowed between this subsection and 5
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 6
CCS SS SCS HCS HB 2011 61

11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 7
11.840 8
From General Revenue Fund (1101) .........................................................................$5,541,033 9
From Title XIX Department of Social Services Medicaid Assistance 10
Federal Fund (1163) .........................................................................................9,950,833 11
From Health Initiatives Fund (1275) ................................................................... 71,162 12
Total .........................................................................................................................$15,563,02813

Section 11.730. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to third-party insurers, employers, or policy holders for 3
health insurance, provided ten percent (10%) flexibility is 4
allowed between this subs ection and Sections 11.700, 11.715, 5
11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 6
11.780, 11.815, 11.825, 11.830, and 11.840, and further provided 7
three percent (3%) flexibility is allowed from this section to 8
Section 11.910 9
From General Revenue Fund (1101) .....................................................................$136,900,455 10
From Title XIX Department of Social Services Medicaid Assistance 11
Federal Fund (1163) ................................................................................. 270,491,167 12
Total .......................................................................................................................$407,391,622 13

Section 11.735. To the Department of Social Services 1
For the MO HealthNet Division 2
For funding long-term care services 3
For care in nursing facilities under the MO HealthNe t fee-for-service 4
program and for contra cted services to develop model policies 5
and practices that improve the qual ity of life for long-term care 6
residents, provided ten percent (10%) flexibility is allowed 7
between this subsection and Sections 11.700, 11.715, 11.720, 8
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 9
11.815, 11.825, 11.830, and 11.840, and further provided five 10
percent (5%) flexibility is allowed from this subsection to the 11
value based incentive payments to nursing facilities subsection 12
within this section 13
From General Revenue Fund (1101) .....................................................................$340,909,914 14
From Title XIX Department of Social Services Medicaid Assistance 15
Federal Fund (1163) .....................................................................................760,903,092 16
From Uncompensated Care Fund (1108) ...................................................................58,516,478 17
CCS SS SCS HCS HB 2011 62

From Third Party Liability Collections Fund (1120) ...................................................6,992,981 18
From Nursing Facility Reimbursement Allowance Fund (1196) ................................9,500,000 19

For value-based incentive payments to nursing facilities 20
From General Revenue Fund (1101) .........................................................................12,330,612 21
From Title XIX Department of Social Services Medicaid Assistance 22
Federal Fund (1163) .......................................................................................22,447,591 23

For home health for the elderly under the MO HealthNet fee-for-service 24
program, provided ten percent (10%) flexibility is allowed 25
between this subsection and Sections 11.700, 11.715, 11.720, 26
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 27
11.815, 11.825, 11.830, and 11.840 28
From General Revenue Fund (1101) ..............................................................................834,886 29
From Title XIX Department of Social Services Medicaid Assistance 30
Federal Fund (1163) .........................................................................................2,052,783 31
From Health Initiatives Fund (1275) ................................................................... 159,305 32
Total ....................................................................................................................$1,214,647,64233

Section 11.740. To the Department of Social Services 1
For the MO HealthNet Division 2
For funding long-term care services 3
For Nursing Facility Reimbursement Allowance payments as provided 4
by law 5
From Title XIX Department of Social Services Medicaid Assistance 6
Federal Fund (1163) ...................................................................................$240,741,466 7
From Nursing Facility Reimbursement Allowance Fund (1196) ........................ 132,240,896 8
Total .......................................................................................................................$372,982,362 9

Section 11.745. To the Department of Social Services 1
For the MO HealthNet Division 2
For rehabilitative and preventative ca re services ordered by a physician 3
and delivered by an Assisted Living Facility, provided one 4
hundred percent (100%) flexibility is allowed between funds 5
From General Revenue Fund (1101) .......................................................................................$1 6
From Title XIX Department of Social Services Medicaid Assistance 7
Federal Fund (1163) ................................................................................. 1 8
Total .........................................................................................................................................$2 9

CCS SS SCS HCS HB 2011 63

Section 11.750. To the Department of Social Services 1
For the MO HealthNet Division 2
For publicly funded long-term care se rvices and support contracts and 3
funding supplemental payments fo r care in nursing facilities 4
under the nursing facility upper payment limit 5
From Title XIX Department of Social Services Medicaid Assistance 6
Federal Fund (1163) .......................................................................................$7,068,173 7
From Long Term Support UPL Fund (1724) ....................................................... 3,882,595 8
Total .........................................................................................................................$10,950,768 9

Section 11.755. To the Department of Social Services 1
For the MO HealthNet Division 2
For all other non-institutional servi ces including, but not limited to, 3
rehabilitation, optometry, audiology, ambulance, non-emergency 4
medical transportation, durable medical equipment, and 5
eyeglasses under the MO HealthNet fee-for-service program, and 6
for rehabilitation services pr ovided by residential treatment 7
facilities as authorized by the Children’s Division for children in 8
the care and custody of the Ch ildren’s Division, provided ten 9
percent (10%) flexibility is allowed between this subsection and 10
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11
11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 12
11.840, and further provided five percent (5%) fl exibility is 13
allowed between Sections 11.455, 11.460, and 11.755 14
From General Revenue Fund (1101) (including $601,942 one-time) ...................$144,819,437 15
From Title XIX Department of Social Services Medicaid Assistance 16
Federal Fund (1163) (including $1,095,821 one-time) ................................266,965,185 17
From Nursing Facility Reimbursement Allowance Fund (1196) ................................1,414,043 18
From Health Initiatives Fund (1275) ..............................................................................194,881 19
From Ambulance Service Reimbursement Allowance Fund (1958) .........................10,491,302 20

For non-emergency medical transportation, provided ten percent (10%) 21
flexibility is allowed between this subsection and Sections 22
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 23
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 24
From General Revenue Fund (1101) .........................................................................20,488,557 25
From Title XIX Department of Social Services Medicaid Assistance 26
Federal Fund (1163) .......................................................................................37,775,900 27

CCS SS SCS HCS HB 2011 64

For the federal share of MO HealthNet reimbursable non-emergency 28
medical transportation for public entities 29
From Title XIX Department of Social Services Medicaid Assistance 30
Federal Fund (1163) ................................................................................. 2,555,469 31
Total .......................................................................................................................$484,704,774 32

Section 11.760. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to providers of ground emergency medical transportation 3
From Title XIX Department of Social Services Medicaid Assistance 4
Federal Fund (1163) .....................................................................................$40,659,479 5
From Ground Emergency Medical Transportation Fund (1422) ......................... 22,533,055 6
Total .........................................................................................................................$63,192,5347

Section 11.765. To the Department of Social Services 1
For the MO HealthNet Division 2
For complex rehabilitation technol ogy items classified within the 3
Medicare program as of Janua ry 1, 2014 as durable medical 4
equipment that are individually configured for individuals to 5
meet their specific and unique medical, physical, and functional 6
needs and capacities for basic ac tivities of daily living and 7
instrumental activities of daily living identified as medically 8
necessary to prevent hospitalization and/or institutionalization of 9
a complex needs patient; such items shall include, but not be 10
limited to, complex rehabilita tion power wheelchairs, highly 11
configurable manual wheelch airs, adaptive seating and 12
positioning systems, and other specialized equipment such as 13
standing frames and gait traine rs, provided ten percent (10%) 14
flexibility is allowe d between this section and Sections 11.700, 15
11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 16
11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further 17
provided three percent (3%) flex ibility is allowed from this 18
section to Section 11.910 19
From General Revenue Fund (1101) .........................................................................$4,343,425 20
From Title XIX Department of Social Services Medicaid Assistance 21
Federal Fund (1163) ................................................................................. 8,587,237 22
Total .........................................................................................................................$12,930,662 23

Section 11.770. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 65

For the MO HealthNet Division 2
For payment to comprehensive prepaid health care plans for the general 3
plan as provided by federal or state law or for payments to 4
programs authorized by the Frail Elderly Demonstration Project 5
Waiver as provided by the Omni bus Budget Reconciliation Act 6
of 1990 (P.L.101-508, Section 4744) and by Section 208.152 7
(16), RSMo, provided that the department shall implement 8
programs or measures to ach ieve cost-savings through 9
emergency room services reform , and further provided that MO 10
HealthNet eligibles described in Section 501(a)(1)(D) of Title V 11
of the Social Security Act may voluntarily enroll in the Managed 12
Care Program, and further provid ed that the Department shall 13
direct its contracted actuary to develop an Aged, Blind, and 14
Disabled rate cell inside the MO HealthNet Managed Care 15
program to reflect the cost of those members choosing to be 16
enrolled in a managed care plan, and further provided ten percent 17
(10%) flexibility is allowed between this subsection and Sections 18
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 19
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 20
From General Revenue Fund (1101) (including $883,681 one-time) ...................$494,178,723 21
From Title XIX Department of Social Services Medicaid Assistance 22
Federal Fund (1163) (including $1,608,723 one-time) .............................1,852,370,489 23
From Uncompensated Care Fund (1108) ...................................................................33,848,436 24
From Health Initiatives Fund (1275) .........................................................................18,590,380 25
From Federal Reimbursement Allowance Fund (1142) ..........................................318,659,260 26
From Healthy Families Trust Fund (1625) ................................................................14,435,373 27
From Life Sciences Research Trust Fund (1763) ......................................................26,697,272 28
From Premium Fund (1885) ........................................................................................9,259,854 29
From Ambulance Service Reimbursement Allowance Fund (1958) ...........................2,892,711 30
From Department of Social Services Intergovernmental Transfer Fund 31
(1139) .............................................................................................................34,807,441 32

For supplemental payments to Tier 1 Safety Net Hospitals, or to any 33
affiliated physician group that provides physicians for any Tier 1 34
Safety Net Hospital, for physician and other healthcare 35
professional services as approved by the Centers for Medicare 36
and Medicaid Services 37
From Title XIX Department of Social Services Medicaid Assistance 38
Federal Fund (1163) .......................................................................................44,621,663 39
CCS SS SCS HCS HB 2011 66

From Department of Social Services Intergovernmental Transfer Fund 40
(1139) .............................................................................................................24,510,978 41

For payments to providers of public ground emergency medical 42
transportation, pursuant to Sections 208.1030 and 208.1032 43
RSMo, when providing services to persons paid for under this 44
section 45
From Title XIX Department of Social Services Medicaid Assistance 46
Federal Fund (1163) .......................................................................................33,337,870 47
From Ground Emergency Medical Transportation Fund (1422) ......................... 18,828,147 48
Total ....................................................................................................................$2,927,038,59749

Section 11.771. To the Department of Social Services 1
For the MO HealthNet Division 2
For a mobile MRI and trailer for a hospital located in any city with more 3
than sixteen thousand but fewer than eighteen thousand 4
inhabitants and located in more than one county 5
From General Revenue Fund (1101) (one-time) .......................................................$1,500,000 6

Section 11.775. To the Department of Social Services 1
For the MO HealthNet Division 2
For payment to a compre hensive prepaid health care plan for the 3
specialty plan as provided by federal or state law or for payments 4
to programs authorized by the Frail Elderly Demonstration 5
Project Waiver as provide d by the Omnibus Budget 6
Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by 7
Section 208.152 (16), RSMo, and fu rther provided ten percent 8
(10%) flexibility is allowed betw een this section and Sections 9
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 10
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 11
From General Revenue Fund (1101) .....................................................................$130,098,206 12
From Title XIX Department of Social Services Medicaid Assistance 13
Federal Fund (1163) .....................................................................................286,192,727 14
From Federal Reimbursement Allowance Fund (1142) ............................................45,994,611 15
From Ambulance Service Reimbursement Allowance Fund (1958) ..............................300,000 16
From Department of Social Services Intergovernmental Transfer Fund 17
(1139) ...............................................................................................................6,221,543 18

For payments to providers of public ground emergency medical 19
transportation, pursuant to Sections 208.1030 and 208.1032 20
CCS SS SCS HCS HB 2011 67

RSMo, when providing services to persons paid for under this 21
section 22
From Title XIX Department of Social Services Medicaid Assistance 23
Federal Fund (1163) .........................................................................................2,261,087 24
From Ground Emergency Medical Transportation Fund (1422) ......................... 1,276,988 25
Total .......................................................................................................................$472,345,16226

Section 11.780. To the Department of Social Services 1
For the MO HealthNet Division 2
For hospital care under the MO HealthNet fee-for-service program, 3
graduate medical education, a nd for a comprehensive chronic 4
care risk management program, provided that the MO HealthNet 5
Division shall track payments to out-of-state hospitals by 6
location, and further provided the department seek a waiver of 7
the institutions for mental dis ease (IMD) exclusion for inpatient 8
mental health treatment for MO HealthNet participants in 9
psychiatric hospitals pursuant to Section 12003 of the 21st 10
Century Cures Act with the st ate share through the federal 11
reimbursement allowance; and further provided ten percent 12
(10%) flexibility is allowed between this subsection and Sections 13
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 14
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 15
From General Revenue Fund (1101) .......................................................................$26,705,177 16
From Title XIX Department of Social Services Medicaid Assistance 17
Federal Fund (1163) .....................................................................................354,053,962 18
From Federal Reimbursement Allowance Fund (1142) ..........................................119,171,256 19
From Pharmacy Reimbursement Allowance Fund (1144) ...............................................15,709 20

For rate increases for inpatient hospital psychiatric care 21
From General Revenue Fund (1101) ...........................................................................8,363,750 22
From Title XIX Department of Social Services Medicaid Assistance 23
Federal Fund (1163) .......................................................................................16,136,250 24
From Federal Reimbursement Allowance Fund (1142) .................................................500,000 25

For Safety Net Payments 26
From Healthy Families Trust Fund (1625) .......................................................... 30,365,444 27
Total .......................................................................................................................$555,311,548 28

Section 11.785. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 68

For the MO HealthNet Division 2
For the Transformation of Rural Community Health (ToRCH) Rural 3
Hospital Health Hub 4
From General Revenue Fund (1101) .........................................................................$3,750,000 5
From Title XIX Department of Social Services Medicaid Assistance 6
Federal Fund (1163) .........................................................................................7,500,000 7
From Federal Reimbursement Allowance Fund (1142) ...................................... 3,750,000 8
Total .........................................................................................................................$15,000,000 9

Section 11.790. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to Tier 1 Safety Net Hospitals for enhanced rates to 3
providers and to plan and develop a regional Barriers to Care 4
proposal while maximizing eligible costs for federal Medicaid 5
funds, utilizing current state a nd local funding sources as match 6
for services that are not currently matched with federal Medicaid 7
payments 8
From Title XIX Department of Social Services Medicaid Assistance 9
Federal Fund (1163) .....................................................................................$12,613,590 10
From Department of Social Services Intergovernmental Transfer Fund 11
(1139) ....................................................................................................... 1,709,202 12
Total .........................................................................................................................$14,322,792 13

Section 11.795. To the Department of Social Services 1
For the MO HealthNet Division, 2
For indirect medical education (IME ) payments to public acute care 3
safety net hospitals who serve as the primary teaching hospitals 4
for the state’s two public medical schools, University of 5
Missouri-Columbia School of Medicine and University of 6
Missouri-Kansas City School of Medicine; payments from this 7
section are for the difference between IME payments paid under 8
the Diagnosis-Related Group (DRG) methodology and 100% of 9
allowable funds 10
From Title XIX Department of Social Services Medicaid Assistance 11
Federal Fund (1163) .....................................................................................$12,721,240 12
From Department of Social Services Intergovernmental Transfer Fund 13
(1139) ....................................................................................................... 6,987,862 14
Total .........................................................................................................................$19,709,102 15

CCS SS SCS HCS HB 2011 69

Section 11.800. To the Department of Social Services 1
For the MO HealthNet Division provid ed three percent (3%) flexibility 2
is allowed from this section to Section 11.910 3
For Federally Qualified Health Centers (FQHCs) 4
For grants to Federally Qualified Health Centers 5
From General Revenue Fund (1101) ............................................................................$257,732 6

Section 11.805. To the Department of Social Services 1
For the MO HealthNet Division 2
For Federally Qualified Health Centers (FQHCs) 3
For a grant program for a substance abuse prevention network for a 4
FQHC located in a county with more than two hundred sixty 5
thousand but fewer than three hundred thousand inhabitants 6
From General Revenue Fund (1101) .........................................................................$1,000,000 7
From Department of Social Services Federal Fund (1610) ............................................250,000 8
From Opioid Addiction Treatment and Recovery Fund (1705) ..................................1,100,000 9

For a grant program for a substance abuse prevention network 10
From General Revenue Fund (1101) ...........................................................................1,000,000 11
From Department of Social Services Federal Fund (1610) ............................................250,000 12
From Opioid Addiction Treatment and Recovery Fund (1705) .......................... 2,100,000 13
Total ...........................................................................................................................$5,700,000 14

Section 11.810. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to technical assistance contractors under Section 330(l) or 3
330(m) of the Public Health Serv ices Act to assist FQHCs with 4
outreach and engagement of Medica id beneficiaries assigned to 5
FQHCs, to address gaps in preventive services and management 6
of chronic conditions, and for incentive payments 7
From General Revenue Fund (1101) .........................................................................$1,918,645 8
From Department of Social Services Federal Fund (1610) ................................. 1,918,645 9
Total ...........................................................................................................................$3,837,290 10

Section 11.815. To the Department of Social Services 1
For the MO HealthNet Division 2
For health homes, provided ten percent (10%) flexibility is allowed 3
between this subsection and Sections 11.700, 11.715, 11.720, 4
CCS SS SCS HCS HB 2011 70

11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 5
11.815, 11.825, 11.830, and 11.840 6
From General Revenue Fund (1101) .........................................................................$4,270,273 7
From Title XIX Department of Social Services Medicaid Assistance 8
Federal Fund (1163) .......................................................................................21,978,561 9
From Federal Reimbursement Allowance Fund (1142) ...................................... 7,893,011 10
Total .........................................................................................................................$34,141,845 11

Section 11.820. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to hospitals under the Federal Reimbursement Allowance 3
Program including state costs to pa y for an independent audit of 4
Disproportionate Share Hospital payments as required by the 5
Centers for Medicare and Medicaid Services, for the expenses of 6
the Poison Control Center in order to provide services to all 7
hospitals within the state 8
For a continuation of the services provided through Medicaid Emergency 9
Psychiatric Demonstration as required by Section 208.152(16), 10
RSMo 11
From Title XIX Department of Social Services Medicaid Assistance 12
Federal Fund (1163) ...................................................................................$648,177,591 13
From Federal Reimbursement Allowance Fund (1142) ...................................... 377,298,284 14
Total ....................................................................................................................$1,025,475,87515

Section 11.825. To the Department of Social Services 1
For the MO HealthNet Division 2
For funding programs to enhance access to care for uninsured children 3
using fee-for-service, prepaid heal th plans, or other alternative 4
service delivery and reimburse ment methodology approved by 5
the director of the Department of Social Services, provided that 6
families of children receiving services under this section shall pay 7
the following premiums to be eligible to receive such services: 8
zero percent on the amount of a family's income which is less 9
than or equal to 150 percent of the federal poverty level; four 10
percent on the amount of a family's income which is less than or 11
equal to 185 percent of the federal poverty level but greater than 12
150 percent of the federal povert y level; eight percent on the 13
amount of a family's income which is less than or equal to 225 14
percent of the federal poverty le vel but greater than 185 percent 15
CCS SS SCS HCS HB 2011 71

of the federal poverty level; fourteen percent on the amount of a 16
family's income which is less than or equal to 300 percent of the 17
federal poverty level but greater than 225 percent of the federal 18
poverty level not to exceed five percent of total income; families 19
with an annual income of more than 300 percent of the federal 20
poverty level are ineligible for this program, provided ten percent 21
(10%) flexibility is allowed betw een this section and Sections 22
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 23
11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 24
From General Revenue Fund (1101) .....................................................................$118,789,914 25
From Title XXI Children’s Health Insurance Program Federal Fund 26
(1159) ...........................................................................................................439,596,328 27
From Department of Social Services Intergovernmental Transfer Fund 28
(1139) ...............................................................................................................6,089,434 29
From Federal Reimbursement Allowance Fund (1142) ............................................16,430,704 30

For payments to providers of public ground emergency medical 31
transportation, pursuant to Sections 208.1030 and 208.1032 32
RSMo, when providing services to persons paid for under this 33
section 34
From Title XXI Children’s Health Insurance Program Federal Fund 35
(1159) ...............................................................................................................2,459,831 36
From Ground Emergency Medical Transportation Fund (1422) ......................... 831,401 37
Total .......................................................................................................................$584,197,61238

Section 11.830. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Show-Me Healthy Babies Program authorized by Section 3
208.662, RSMo, provided ten percent (10%) flexibility is allowed 4
between this subsection and Sections 11.700, 11.715, 11.720, 5
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 6
11.815, 11.825, 11.830, and 11.840, and further provided three 7
percent (3%) flexibility is allowe d from this section to Section 8
11.910 9
From General Revenue Fund (1101) .......................................................................$22,309,571 10
From Title XXI Children’s Health Insurance Program Federal Fund 11
(1159) ...........................................................................................................117,166,237 12
From Department of Social Services Intergovernmental Transfer Fund 13
(1139) ...............................................................................................................1,279,507 14
CCS SS SCS HCS HB 2011 72

From Federal Reimbursement Allowance Fund (1142) ...................................... 7,467,000 15
Total .......................................................................................................................$148,222,31516

Section 11.835. To the Department of Social Services 1
For the MO HealthNet Division 2
For MO HealthNet services for th e Department of Elementary and 3
Secondary Education under the MO HealthNet fee-for-service 4
program 5
From General Revenue Fund (1101) ............................................................................$242,525 6
From Title XIX Department of Social Services Medicaid Assistance 7
Federal Fund (1163) ................................................................................. 120,090,322 8
Total .......................................................................................................................$120,332,8479

Section 11.840. To the Department of Social Services 1
For the MO HealthNet Division 2
For medical benefits for blind individuals ineligible for MO HealthNet 3
coverage who receive the Misso uri Blind Pension cash grant, 4
provided that individuals under this section shall pay the 5
following premiums to be eligible to receive such services: zero 6
percent on the amount of a family's income which is less than 150 7
percent of the federal poverty level; four percent on the amount 8
of a family's income which is less than 185 percent of the federal 9
poverty level but greater than or equal to 150 percent of the 10
federal poverty level; eight percen t of the amount on a family's 11
income which is less than 225 percent of the federal poverty level 12
but greater than or equal to 185 percent of the federal poverty 13
level; fourteen percent on the amount of a family's income which 14
is less than 300 percent of the federal poverty level but greater 15
than or equal to 225 percent of the federal poverty level not to 16
exceed five percent of total in come; families with an annual 17
income equal to or greater than 300 percent of the federal poverty 18
level are ineligible for this program, and further provided ten 19
percent (10%) flexibility is allowed between this subsection and 20
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 21
11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 22
11.840, and further provided three percent (3%) fl exibility is 23
allowed from this section to Section 11.910 24
From General Revenue Fund (1101) .......................................................................$24,444,10425

CCS SS SCS HCS HB 2011 73

Section 11.845. To the Department of Social Services 1
For the MO HealthNet Division 2
For program distributions related to Section 36(c) of Article IV of the 3
Missouri Constitution 4
From General Revenue Fund (1101) (including $337,760 one-time) ...................$395,298,492 5
From Title XIX - Adult Expansion Federal Fund (1358) (including 6
$3,039,841 one-time) ................................................................................4,249,826,500 7
From Pharmacy Reimbursement Allowance Fund (1144) ..........................................2,146,956 8
From Nursing Facility Reimbursement Allowance Fund (1196) ................................2,146,151 9
From Ambulance Service Reimbursement Allowance Fund (1958) ..............................565,267 10
From Federal Reimbursement Allowance Fund (1142) ............................................62,936,427 11
From Department of Social Services Intergovernmental Transfer Fund 12
(1139) ...............................................................................................................8,801,437 13

For supplemental payments to Tier 1 Safety Net Hospitals, or to any 14
affiliated physician group that provides physicians for any Tier 1 15
Safety Net Hospital, for physician and other healthcare 16
professional services as approved by the Centers for Medicare 17
and Medicaid Services 18
From Title XIX - Adult Expansion Federal Fund (1358) ..........................................43,697,736 19
From Department of Social Services Intergovernmental Transfer Fund 20
(1139) ...............................................................................................................4,855,304 21

For payments to the Department of Mental Health for Community 22
Psychiatric Rehabilitation (CPR) services, Comprehensive 23
Substance Abuse Treatment and Rehabilitation (CSTAR) 24
services, Targeted Case Management (TCM) for behavioral 25
health services, and Certified Community Behavioral Health 26
Organizations (CCBHO) for MO HealthNet participants and the 27
uninsured 28
From Title XIX - Adult Expansion Federal Fund (1358) ........................................362,039,310 29
From Department of Social Services Intergovernmental Transfer Fund 30
(1139) .............................................................................................................40,226,590 31

For payments to providers of public ground emergency medical 32
transportation, pursuant to Sections 208.1030 and 208.1032 33
RSMo, when providing services to persons paid for under this 34
section 35
From Title XIX - Adult Expansion Federal Fund (1358) ..........................................20,956,916 36
CCS SS SCS HCS HB 2011 74

From Ground Emergency Medical Transportation Fund (1422) ......................... 2,328,546 37
Total ....................................................................................................................$5,195,825,63238

Section 11.850. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund for the purpose of providing the state 3
match for Medicaid payments 4
From Department of Social Services Intergovernmental Transfer Fund 5
(1139) .........................................................................................................$122,616,1976

Section 11.855. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to the Department of Mental Health for Community 3
Psychiatric Rehabilitation (CPR) services, Comprehensive 4
Substance Abuse Treatment and Rehabilitation (CSTAR) 5
services, Targeted Case Management (TCM) for behavioral 6
health services, and Certified Community Behavioral Health 7
Organizations (CCBHO) for MO HealthNet participants and the 8
uninsured 9
From Title XIX Department of Social Services Medicaid Assistance 10
Federal Fund (1163) ...................................................................................$628,579,055 11
From Department of Social Services Intergovernmental Transfer Fund 12
(1139) ....................................................................................................... 305,093,236 13
Total .......................................................................................................................$933,672,29114

Section 11.860. To the Department of Social Services 1
For the MO HealthNet Division 2
For family planning and family pl anning-related services, pregnancy 3
testing, sexually transmitted di sease testing and treatment, 4
including pap tests and pelvic exams, and follow-up services, 5
provided that none of the funds appropriated herein may be paid, 6
granted to, or expended to directly or indirectly fund procedures 7
or administrative functions of a ny clinic, physician's office, or 8
any other place or facility in which abortions are performed or 9
induced other than a hospital, or any affiliate of any such clinic, 10
physician's office, or place or facility in which abortions are 11
performed or induced other than a hospital, or for performing, 12
inducing, or assisting in the pe rformance or inducing of an 13
abortion which is not necessary to save the life of the mother, for 14
CCS SS SCS HCS HB 2011 75

encouraging a patient to have an abortion or referring a patient 15
for an abortion which is not nece ssary to save the life of the 16
mother, or developing or dispensing drugs, chemicals, or devices 17
intended to be used to induce an abortion which is not necessary 18
to save the life of the mother. Such services shall be available to 19
uninsured women who are at least eighteen (18) to fifty-five (55) 20
years of age with a family Modi fied Adjusted Gross Income for 21
the household size that does not exceed two hundred and one 22
percent (201%) of the Federal Poverty Level (FPL) and who is a 23
legal resident of the state 24
From General Revenue Fund (1101) (including $1,208,096 one-time) ....................$1,871,711 25
From Title XIX Department of Social Services Medicaid Assistance 26
Federal Fund (1163) ................................................................................. 1,208,096 27
Total ...........................................................................................................................$3,079,807 28

Section 11.865. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Pharmacy Reimbursement Allowance Fund 3
From General Revenue Fund (1101) .......................................................................$38,737,111 4

Section 11.870. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Pharmacy Reimbursement Allowance Fund (1144) ......................................$38,737,1114

Section 11.875. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Ambulance Service Reimbursement Allowance Fund 3
From General Revenue Fund (1101) .......................................................................$20,837,332 4

Section 11.880. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Ambulance Service Reimbursement Allowance Fund (1958) .......................$20,837,332 4

Section 11.885. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the Federal 2
Reimbursement Allowance Fund 3
From General Revenue Fund (1101) .....................................................................$718,701,378 4
CCS SS SCS HCS HB 2011 76

Section 11.890. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Federal Reimbursement Allowance Fund (1142) ........................................$718,701,378 4

Section 11.895. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Nursing Facility Reimbursement Allowance Fund 3
From General Revenue Fund (1101) .....................................................................$210,950,510 4

Section 11.900. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Nursing Facility Reimbursement Allowance Fund (1196) ..........................$210,950,510 4

Section 11.905. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Nursing Facility Quality of Care Fund in accordance with Section 3
198.418.1, RSMo, to be used by the Department of Health and 4
Senior Services for conducting inspections and surveys and 5
providing training and technical assi stance to facilities licensed 6
under the provisions of Chapter 198 7
From Nursing Facility Reimbursement Allowance Fund (1196) ..............................$1,500,000 8

Section 11.910. To the Department of Social Services 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

PART 2

Section 11.2005. To the Department of Social Services 1
In reference to Section 11.080 of Part 1 of this act: 2
No funds shall be expended in furtherance of reimbursement rates 3
greater than $17 per day. 4
CCS SS SCS HCS HB 2011 77

Section 11.2010. To the Department of Social Services 1
In reference to Section 11.160 of Part 1 of this act: 2
No funds shall be expended in furtherance of contract rates 3
greater than the rate in effect on January 1, 2025. 4

Section 11.2015. To the Department of Social Services 1
In reference to Section 11.215 of Part 1 of this act: 2
No funds shall be expended in furtherance of Blind Pension rates 3
greater than $949 per month and $794 per month for 4
Supplemental Aid to the Blind. 5

Section 11.2017. To the Department of Social Services 1
In reference to Section 11.421 of Part 1 of this act: 2
No funds shall be expended in furtherance of outdoor learning 3
foster care program provider rates greater than $258 per day. 4

Section 11.2020. To the Department of Social Services 1
In reference to Sections 11.425, 11.435, 11.445, 11.450, 11.455, 2
11.460, 11.480, 11.485, 11.495, 11.545, 11.765, 11.775, 11.780 3
and 11.815 of Part 1 of this act: 4
No funds shall be expended in furtherance of provider rates 5
greater than the rate in effect on January 1, 2025.6

Section 11.2025. To the Department of Social Services 1
In reference to Sections 11.450, 11.755 and 11.775 of Part 1 of 2
this act: 3
No funds shall be expended in furtherance of Therapeutic Foster 4
Care provider rates greater th an: $173.08 per day for Level 1, 5
$262.02 per day for Level II.6

Section 11.2030. To the Department of Social Services 1
In reference to Sections 11.455, 11.755 and 11.775 of Part 1 of 2
this act: 3
No funds shall be expended in furtherance of QRTP/non-IMD 4
and QRTP/IMD rates greater than: $194.47 per day for Level II, 5
$239.16 per day for Level III, $253.80 per day for Level IV. 6

Section 11.2035. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 78

In reference to Secti ons 11.455, 11.460, 11.755 and 11.775 of 2
Part 1 of this act: 3
Expenses for children placed in a residential treatment facility 4
shall be covered for placements ordered by the court and not 5
recommended by an independent assessor. 6

Section 11.2040. To the Department of Social Services 1
In reference to Sections 11.455, 11.460, 11.755, 11.775 and 2
11.780 of Part 1 of this act: 3
Provided that funding may be expended for the purposes of 4
transitioning children in the Ch ildren’s Division custody from a 5
current stay or preventing a stay in: 1) an out of state placement, 6
2) a hospital boarding arrangem ent, or 3) hotel boarding 7
arrangement. 8

Section 11.2045. To the Department of Social Services 1
In reference to Sections 11.440 and 11.780 of Part 1 of this act: 2
No funds shall be expended in furtherance of Psychiatric 3
Residential Treatment Facility (PRTF) provider rates greater than 4
$471.46 per day. 5

Section 11.2050. To the Department of Social Services 1
In reference to Section 11.715 of Part 1 of this act: 2
No funds shall be expended in furtherance of physician provider 3
rates greater than the rate in effect on January 1, 2024, except 4
rates for Certified Community Behavioral Health Clinics, for 5
which no funds shall be expended in furtherance of actuarial rates 6
greater than those approved by the Department of Mental Health, 7
and further excepting rates for autism services, for which no 8
funds shall be expended in furtherance of autism rates paid by the 9
Department of Mental Health on January 1, 2025, and further 10
excepting independent lab rates, for which no funds shall be 11
expended in furtherance of 90% of the calendar year 2023 12
Medicare allowed rate, and fu rther excepting ophthalmologist 13
rates, for which no funds shall be expended in furtherance of 85% 14
of the calendar year 2023 Medicare allowed rate, and further 15
excepting anesthesia rates for dental services, for which no funds 16
shall be expended greater than 63% of the Medicare conversion 17
CCS SS SCS HCS HB 2011 79

factor for anesthesia services for dental procedures performed in 18
medical surgical centers. 19

Section 11.2055. To the Department of Social Services 1
In reference to Section 11.725 of Part 1 of this act: 2
No funds shall be expended in furtherance of dental provider 3
rates greater than the rate in effect on January 1, 2025, except for 4
dental anesthesia codes, for which no funds shall be expended in 5
furtherance of 80% of the 50th percentile of the comparable 6
Usual Customary and Reasonabl e (UCR) rates on January 1, 7
2024, and further excepting dentist extraction rates, for which no 8
funds shall be expended in furtherance of dentist extraction codes 9
to 38.5% of the 50th percentile of the comparable UCR rates on 10
January 1, 2024. 11

Section 11.2060. To the Department of Social Services 1
In reference to Sections 11.735 and 11.740 of Part 1 of this act: 2
No funds shall be expended in furtherance of nursing facility 3
provider rates greater than the re based rate, in the aggregate, 4
determined by the FY2022 nursing facility cost reports, excepting 5
case mix index adjustments and value based payment 6
adjustments. No funds shall be expended in furtherance of home 7
health provider rates greater than $12.42 per visit of the rate in 8
effect on January 1, 2024. No funds shall be expended for 9
Certified Nursing Assistant (CNA) training reimbursement 10
greater than $1,500 per enrollee. 11

Section 11.2065. To the Department of Social Services 1
In reference to Section 11.755 of Part 1 of this act: 2
No funds shall be expended in furtherance of rehabilitation and 3
specialty provider rates greater than the rate in effect on January 4
1, 2025, except providers of non-emergency medical 5
transportation for MO HealthNet and Department of Mental 6
Health for which no funds shall be expended in furtherance of 7
provider rates greater than th e lower bound actuarial soundness 8
rate, and further excepting provide rs of hospice care, for which 9
no funds shall be expended in furtherance of provider rates 10
greater than 2.8% fo r routine home care , continuous care, 11
inpatient respite care, and general inpatient care greater than the 12
CCS SS SCS HCS HB 2011 80

blended rate in effect on January 1, 2025, and for which no funds 13
shall be expended in furtherance of rates no greater than 95% of 14
the nursing facility per diem rate for room and board for services 15
provided in a nursing facil ity, and further excepting air 16
ambulance provider rates for whom no funds shall be expended 17
in furtherance of provider rates greater than 90% of the Medicare 18
calendar year 2024 rate from the rate in effect on December 30, 19
2023. 20

Section 11.2070. To the Department of Social Services 1
In reference to Sections 11.770 and 11.775 of Part 1 of this act: 2
No funds shall be expended in furtherance of managed care 3
contract rates grea ter than the lower bound actuarial soundness 4
rate. 5

Section 11.2075. To the Department of Social Services 1
In reference to Sections 11.780 and 11.820 in Part 1 of this act: 2
Provided that in-patient Medica id psychiatric free-standing 3
hospitals have a minimum rate equivalent to the state fiscal year 4
2025 weighted average daily rate of $1,194.22. 5

Section 11.2080. To the Department of Social Services 1
In reference to Sections 11.780 and 11.820 of Part 1 of this act: 2
No funds shall be expended for out-of-state payments. 3

Section 11.2085. To the Department of Social Services 1
In reference to Sections 11.780 and 11.820 of Part 1 of this act: 2
No funds shall be expended in furtherance of the outpatient 3
hospital services fee schedule gr eater than 90% of the calendar 4
year 2026 Medicare rate. 5

Section 11.2090. To the Department of Social Services 1
In reference to Section 11.815 of Part 1 of this act: 2
No funds shall be expended in furtherance of a PMPM rate 3
greater than $80.19 for primary care health homes. 4

Section 11.2095. To the Department of Social Services 1
In reference to all sections except for Section 11.845 in Part 1 of 2
this act: 3
CCS SS SCS HCS HB 2011 81

No funds shall be expended for program distributions related to 4
Section 36(c) of Article IV of the Missouri Constitution. 5

Section 11.2100. To the Department of Social Services 1
In reference to section 11.720 of Part 1 of this act: 2
No funds shall be expended in furtherance of capitation rates 3
greater than the Amount that Wo uld have been Otherwise Paid 4
(AWOP) under Fee-for-Service. 5

Section 11.2105. To the Department of Social Services 1
In reference to Section 11.700 of Part 1 of this act: 2
The Department shall analyze and report the foregone 3
supplemental rebates associated with drugs purchased under 42 4
U.S.C. Section 256b for particip ants in the MO HealthNet 5
Program to the House Budge t and Senate Appropriation 6
Committee Chairs and Ranking Members. The report shall be 7
submitted quarterly and include aggregate foregone supplemental 8
rebates associated with drugs purchased under 42 U.S.C. Section 9
256b for participants in the MO HealthNet Program to the extent 10
permissible by state and federal law. The report shall be inclusive 11
of the data available at the time the report is generated and contain 12
up to four (4) prior quarters. The first report shall be due 13
November 1, 2026 with quarterly updates thereafter. 14

PART 3

Section 11.3002. To the Department of Social Services 1
In reference to Section 11.052 of Part 1 and Part 2 of this act: 2
The Department shall provide qua rterly reports related to the 3
transition of operations a nd technology and procurement 4
compliance and efficiencies to the Office of the Governor and the 5
House Budget and Senate Appropriation Committee Chairs. 6

Section 11.3005. To the Department of Social Services 1
In reference to Section 11.435 of Part 1 and Part 2 of this act: 2
Special expenses for clothing allo wances shall be paid at least 3
quarterly. 4

Section 11.3010. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 82

In reference to Sections 11.620 and 11.630 of Part 1 and Part 2 2
of this act: 3
The Department shall provide the House Appropriations and 4
Senate Appropriations Offices of the General Assembly access to 5
department-wide data warehouses and analytics platforms not 6
otherwise available to the General Assembly and necessary to 7
make data-driven decisions. This section shall not be construed 8
to compel the release of protected health information or 9
individually identifiable data. 10

Section 11.3015. To the Department of Social Services 1
In reference to Sections 11.770 and 11.775 of Part 1 and Part 2 2
of this act: 3
Contract changes shall be provided in writing, prior to 4
submission to the Centers for Me dicare and Medicaid Services, 5
to the House Budget and Senate Appropriation Committee Chairs 6
and Ranking Members. 7

Section 11.3020. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written notification, prior to 3
submission to the federal governme nt, of state plans and state 4
plan amendments, Advanced Planning Documents, 5
Implementation Advanced Pl anning Documents, grant 6
applications, and Medicaid waivers to the House Budget and 7
Senate Appropriation Committee Chairs and Ranking Members. 8
The Department shall include in the notification the actual 9
documents submitted to the federal government, as well as the 10
federal government’s responses when received. 11

Section 11.3025. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
In reference to the Alternat ive Care Trust Fund (1905), the 3
Department shall provide a quarterly accounting of the money to 4
the parents of the child for whose benefit the funds have been 5
received by the Department; to the guardian ad litem; and to the 6
child, if the child is 15 years or older. 7

Section 11.3030. To the Department of Social Services 1
CCS SS SCS HCS HB 2011 83

In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written documentation of rate 3
setting, rate studies, time survey s, time studies, and random 4
moment time studies, and the federal and state share fiscal impact 5
estimates, including Title IV-E Foster Care eligibility and 6
participation rates to the House Budget and Senate Appropriation 7
Committee Chairs and Ranking Members. 8

Section 11.3035. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide written notification and 3
correspondence from the federal government of non-compliance 4
with federal programs or grants to the House Budget and Senate 5
Appropriation Committee Chairs and Ranking Members. 6

Section 11.3040. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide co pies of financial reports and 3
public assistance cost allocation plans submitted to the federal 4
government and supporting cash on hand reports, by grant, to the 5
House Budget and Senate Appr opriation Committee Chairs and 6
Ranking Members. 7

Section 11.3045. To the Department of Social Services 1
In reference to all sections in Part 1 and Part 2 of this act: 2
The Department shall provide monthly expenditures and 3
projections for Child Welfare programs and Medicaid programs 4
for the current state fiscal year a nd next state fiscal year to the 5
House Budget and Senate Appr opriation Committee Chairs and 6
Ranking Members on a monthly basis. 7

Section 11.3050. To the Department of Social Services 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
Appropriation Committee Chairs and Ranking Members prior to 5
submission to the federal government and prior to expenditure of 6
such funds. 7

CCS SS SCS HCS HB 2011 84
Section 11.3052. To the Department of Social Services 1
In ref
erence to all sections in Part 1 and Part 2 of this act: 2
By or before September 1, 2026 the Office of State Courts 3
Administrator and the Department of Social Services shall 4
execute a memorandum of understanding that provides for access 5
to court orders necessary for the Department of Social Services 6
to ensure timely delivery of case information to relevant agencies 7
and to maximize federal funding fo r children in the state foster 8
care program, including funds available through Part E of Title 9
IV of the Social Security Act. The Department of Social Services 10
shall designate individuals, by classification, to have such access. 11
Bill Totals
General Revenue Fund (2,841.43 F.T.E.) ...........................................................$3,336,243,338
Federal Funds (3,778.34 F.T.E.) .........................................................................12,938,058,610
Other Funds (366.72 F.T.E.) ............................................................................... 1,887,725,747
Total (6,986.49 F.T.E.) .....................................................................................$18,162,027,695
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