Appropriates money for supplemental purposes

SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 2014
103RD GENERAL ASSEMBLY
2014S.06T 2026
AN ACT
To appropriate money for supplemental purpo ses for the expenses, grants, refunds, and
distributions of the several departments and offices of state government, and the several
divisions and programs thereo f, and to transfer money among certain funds, to be
expended only as provided in Article IV, Section 28 of the Constitution of Missouri for
the fiscal period ending June 30, 2026.

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

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, and program described herein for the item or items stated, and 3
for no other purpose whatsoever, chargeable to the fund designated for the period ending June 4
30, 2026, as follows:5
PART 1

Section 14.000. Each appropriation in th is act shall cons ist of the item 1
or items in each section of Part 1 of this act, for the amount and 2
purpose and from the fund designated in each se ction of Part 1, 3
as well as all additional clarifications of purpose in Part 2 of this 4
act that make reference by section to said item or items in Part 1. 5
Any clarification of purpose in Pa rt 2 shall state the section or 6
sections in Part 1 to which it attaches and shall, together with the 7
language of said section(s) in Part 1, form the complete statement 8
of purpose of the appropriation. As such, the provisions of Part 9
SS SCS HCS HB 2014 2

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 guidance to the Department of Elementary 14
and Secondary Education, Department of Mental Health, the 15
Department of Health and Senior Services, and the Department 16
of Social Services in implem enting the appropriations found in 17
Part 1 and Part 2 of this act. 18

Section 14.005. To the Department of Elementary and Secondary 1
Education 2
For State Board of Education operated school programs 3
Expense and Equipment 4
From Elementary and Secondary Education - Federal Fund (1105) .........................$3,000,000 5

Section 14.010. To the Department of Elementary and Secondary 1
Education 2
For the purpose of supporting safe schools programs pursuant to Section 3
160.664, RSMo 4
Expense and Equipment 5
From General Revenue Fund (1101) ..............................................................................$97,524 6

Section 14.015. To the Department of Elementary and Secondary 1
Education 2
For the Office of Quality Schools 3
For a program identifying where students may lack adequate access to 4
resources and support 5
Program Distribution 6
From State Institutions Gift Trust Fund (1925) ............................................................$320,0007

Section 14.020. To the Department of Elementary and Secondary 1
Education 2
For the Office of College and Career Readiness 3
For distributions to providers of career and technical education programs 4
From Elementary and Secondary Education - Federal Fund (1105) .........................$3,600,000 5

Section 14.025. To the Department of Elementary and Secondary 1
Education 2
SS SCS HCS HB 2014 3

For the Office of College and Career Readiness 3
For the Comprehensive Literacy Development Program 4
Program Distribution 5
From Elementary and Secondary Education - Federal Fund (1105) .........................$3,200,000 6

Section 14.030. To the Department of Elementary and Secondary 1
Education 2
For the Office of Quality Schools 3
For facilitating the identification, enrollment, attendance, and success in 4
school of homeless children and youths under Title IX, Part A of 5
the Elementary and Secondary Education Act of 1965 as 6
amended by the Every Student Succeeds Act of 2015 7
From Elementary and Secondary Education - Federal Fund (1105) ............................$951,299 8

Section 14.035. To the Department of Elementary and Secondary 1
Education 2
For the Office of Quality Schools 3
Funds are to be transferred out of the State Treasury to the School 4
Turnaround Fund 5
From General Revenue Fund (1101) ..............................................................................$73,450 6

Section 14.040. To the Department of Elementary and Secondary 1
Education 2
For the Office of Quality Schools 3
For the School Turnaround Program 4
Program Distribution 5
From School Turnaround Fund (1439) ...........................................................................$73,450 6

Section 14.045. To the Department of Elementary and Secondary 1
Education 2
For the Office of Adult Learning and Rehabilitation Services 3
For the Vocational Rehabilitation Program 4
From General Revenue Fund (1101) .........................................................................$2,222,747 5
From Vocational Rehabilitation Fund (1104) ...................................................... 8,212,685 6
Total .........................................................................................................................$10,435,432 7

Section 14.050. To the Department of Elementary and Secondary 1
Education 2
For the Office of Special Education 3
SS SCS HCS HB 2014 4

For the Special Education Program 4
From Elementary and Secondary Education - Federal Fund (1105) .......................$20,000,000 5

Section 14.055. To the Department of Elementary and Secondary 1
Education 2
For the Office of Special Education 3
For special education excess costs 4
Program Distribution 5
From General Revenue Fund (1101) .......................................................................$14,705,004 6

Section 14.060. To the Department of Elementary and Secondary 1
Education 2
For the Office of Childhood 3
For the Early Childhood Special Education Program 4
From General Revenue Fund (1101) .......................................................................$35,100,217 5

Section 14.066. To the Department of Higher Education and Workforce 1
Development 2
For the Division of Workforce Development 3
For job training and related activities 4
Program Distribution 5
From Job Development and Training Fund (1155) ...................................................$4,300,000 6

Section 14.070. To the Department of Revenue 1
For collecting highway related fees and taxes 2
Expense and Equipment 3
From State Highways and Transportation Department Fund (1644) ............................$943,500 4

Section 14.075. To the Department of Revenue 1
For refunds for overpayment or erroneous payment of any tax or any 2
payment credited to the General Revenue Fund 3
From General Revenue Fund (1101) .....................................................................$225,600,000 4

Section 14.080. To the Department of Revenue 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund in the amount of sixty-six hundredths 3
percent of the funds received 4
From Parks Sales Tax Fund (1613) ..................................................................................$9,076 5

Section 14.085. To the Department of Revenue 1
SS SCS HCS HB 2014 5

Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund in the amount of sixty-six hundredths 3
percent of the funds received 4
From Soil and Water Sales Tax Fund (1614) ...................................................................$9,076 5

Section 14.090. To the Department of Revenue 1
Funds are to be transferred out of the State Treasury, chargeable 2
to the General Revenue Fund, to the State Highways and 3
Transportation Department F und, for reimbursement of 4
collection expenditures in excess of the three percent (3%) limit 5
established by Article IV, Sections 29, 30(a), 30(b), and 30(c) of 6
the Constitution of Missouri 7
From General Revenue Fund (1101) .........................................................................$5,058,741 8

Section 14.095. To the Department of Revenue 1
For the State Lottery Commission 2
For payments to vendors for costs of the design, manufacture, licensing, 3
leasing, processing, and delivery of games administered by the 4
State Lottery Commission, excluding any purposes for which 5
appropriations have been made in House Bill 4, Section 4.180, 6
Lines 8-11 and Lines 16-23, an Act of the 103rd General 7
Assembly, First Regular Session 8
From Lottery Enterprise Fund (1657) ........................................................................$1,085,4959

Section 14.100. To the Department of Revenue 1
Funds are to be transferred out of the State Treasury to the Lottery 2
Enterprise Fund 3
From State Lottery Fund (1682) ................................................................................$1,085,495 4

Section 14.105. To the Department of Transportation 1
For the Highways and Transportation Commission and Highway 2
Program Administration, provi ded twenty percent (20%) 3
flexibility is allowed be tween Sections 14.105, 14.110, and 4
14.115 5
Personal Service .............................................................................................$5,587,893 6
Expense and Equipment ........................................................................... 1,485,389 7
From State Road Fund (1320) (Not to exceed 79.23 F.T.E.) .....................................$7,073,282 8

Section 14.110. To the Department of Transportation 1
SS SCS HCS HB 2014 6

For the Construction Program 2
To pay the cost of reimbursing counties and other political 3
subdivisions for the acquisition of roads and bridges taken over 4
by the state as permanent parts of the state highway system, and 5
for the costs of locating, relo cating, establishing, acquiring, 6
constructing, reconstructing, widening, and improving those 7
highways, bridges, tunnels, parkways, travelways, tourways, and 8
coordinated facilities authorized under Article IV, Section30(b) 9
of the Constitution of Missouri, and for acquiring materials, 10
equipment, and buildings necessa ry for such purposes and for 11
other purposes and contingencie s relating to the location and 12
construction of highways and bridges; and to expend funds from 13
the United States Government for like purposes, provided twenty 14
percent (20%) flexibility is a llowed between Sections 14.105, 15
14.110, and 14.115 16
Personal Service ...........................................................................................$20,723,471 17
Expense and Equipment .................................................................................10,361,735 18
Construction ............................................................................................. 487,001,563 19
From State Road Fund (1320) (Not to exceed 283.43 F.T.E.) ...............................$518,086,769 20

Section 14.115. To the Department of Transportation 1
For the Maintenance Program 2
For preserving and maintaining the state system of roads and bridges and 3
coordinated facilities authorized under Article IV, Section 30(b) 4
of the Constitution of Missouri and for acquiring materials, 5
equipment, and buildings necessa ry for such purposes and for 6
other purposes and contingencie s related to the preservation, 7
maintenance, and safety of hi ghways and bridges, provided ten 8
percent (10%) flexibility is allowed between personal service and 9
expense and equipment, and pr ovided twenty percent (20%) 10
flexibility is allowed be tween Sections 14.105, 14.110, and 11
14.115 12
Personal Service ...........................................................................................$43,489,318 13
Expense and Equipment ........................................................................... 74,049,379 14
From State Road Fund (1320) (Not to exceed 780.18 F.T.E.) ...............................$117,538,697 15

Section 14.120. To the Office of Administration 1
For the America 250 Missouri Celebration 2
Expense and Equipment 3
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From State Institutions Gift Trust Fund (1925) ..............................................................$25,0004

Section 14.125. To the Office of Administration 1
For the Information Technology Services Division 2
For the Department of Public Safety 3
Expense and Equipment 4
From Missouri Veterans’ Homes Fund (1460) ..........................................................$2,029,630 5

Section 14.130. To the Office of Administration 1
For the Division of Facilities Management, Design and Construction 2
Asset Management 3
For any and all expenditures necessary for funding the operations of the 4
Board of Public Buildings, st ate-owned and leased office 5
buildings, institutional facilities, laboratories, and support 6
facilities 7
Expense and Equipment 8
From State Facility Maintenance and Operation Fund (1501) ..................................$4,766,274 9

Section 14.131. To the Office of Administration 1
For the Division of Facilities Management, Design and Construction 2
Asset Management 3
For the Fletcher Daniel state office building leased parking spaces 4
Expense and Equipment 5
From State Facility Maintenance and Operation Fund (1501) .......................................$36,000 6

Section 14.135. To the Office of Administration 1
For the Division of Accounting 2
For debt service and all related expe nses associated with the Missouri 3
State Fair project bonds issued in one or more series by the 4
Missouri Development Finance Board, with a term for each series 5
not to exceed twenty years and annu al debt service for all series 6
payable in any year not to exceed $4,200,000, to fund not to 7
exceed $55,000,000 of the costs to plan, design, construct, 8
renovate, acquire land, upgrade a livestock support barn and a 9
stalling barn at the Missouri Stat e Fair pursuant to a financing 10
agreement between the Missour i Development Finance Board 11
and the Office of Administration, provided one-hundred percent 12
(100%) flexibility is allowed between the General Revenue Fund 13
and other funds in this section 14
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From General Revenue Fund (1101) .........................................................................$4,200,000 15
From State Fair Fee Fund (1410) ......................................................................... 1 16
Total ...........................................................................................................................$4,200,001 17

Section 14.140. To the Office of Administration 1
For transferring funds for state em ployees and participating political 2
subdivisions to the OASDHI Contributions Fund 3
From Other Funds (Various) ......................................................................................$1,147,204 4

Section 14.145. To the Office of Administration 1
For transferring funds for the state' s contribution to the Missouri State 2
Employees' Retirement System to the State Retirement 3
Contributions Fund 4
From Other Funds (Various) ......................................................................................$2,851,170 5

Section 14.150. To the Office of Administration 1
For transferring funds for the stat e's contribution to the Missouri 2
Consolidated Health Care Plan to the Missouri Consolidated 3
Health Care Plan Benefit Fund 4
From Other Funds (Various) ......................................................................................$1,330,244 5

For transferring funds for the stat e's contribution to the Missouri 6
Consolidated Health Care Plan to the Missouri Consolidated 7
Health Care Plan Benefit Fund 8
From General Revenue Fund (1101) ................................................................... 10,500,000 9
Total .........................................................................................................................$11,830,244 10

Section 14.155. To the Office of Administration 1
For the Division of General Services 2
For the provision of workers' compensation benefits to state employees 3
through either a self-insurance program administered by the 4
Office of Administration and/or by contractual agreement with a 5
private carrier, and for administrative and legal expenses 6
authorized, in part, by Section 105.810, RSMo 7
From General Revenue Fund (1101) .........................................................................$3,400,000 8

Section 14.160. To the Office of Administration 1
Funds are to be transferred out of the State Treasury, chargeable 2
to various funds, amounts paid from the General Revenue Fund 3
SS SCS HCS HB 2014 9

for workers' compensation benefi ts provided to employees paid 4
from these other funds, to the General Revenue Fund 5
From Other Funds (Various) .........................................................................................$400,000 6

Section 14.165. To the Department of Agriculture 1
For the Division of Animal Health 2
Expense and Equipment 3
From Animal Health Laboratory Fee Fund (1292) .......................................................$400,000 4

Section 14.167. To the Department of Economic Development 1
For the Business and Community Solutions Division 2
For a grant to a public university with an established partnership with a 3
not-for-profit organization that has received a similar state 4
funded grant for establishing Missouri in re-shoring active 5
pharmaceutical ingredient (API) manufacturing 6
Expense and Equipment 7
From General Revenue Fund (1101) .........................................................................$1,927,554 8

Section 14.170. To the Department of Public Safety 1
For the Office of the Director 2
Funds are to be transferred out of the State Treasury to the 3
General Revenue Fund 4
From Economic Distress Zone Fund (1816) ...................................................................$60,000 5

Section 14.175. To the Department of Public Safety 1
For the Office of the Director 2
For the FIFA World Cup Grant Program 3
From Department of Public Safety Federal Fund (1152) ........................................$59,522,190 4

Section 14.180. To the Department of Public Safety 1
For the Office of the Director 2
For the Counter-Unmanned Aircraft Systems Grant Program 3
Personal Service ..................................................................................................$50,000 4
Expense and Equipment ........................................................................... 14,190,568 5
From Department of Public Safety Federal Fund (1152) ........................................$14,240,568 6

Section 14.181. To the Department of Public Safety 1
For the Office of the Director 2
SS SCS HCS HB 2014 10

For statewide fentanyl and additiona l dangerous narco tics testing of 3
wastewater for law enforcement activities 4
From General Revenue Fund (1101) ............................................................................$250,000 5

Section 14.185. To the Department of Public Safety 1
For the Office of the Director 2
For reimbursing SAFE-Care providers for performing forensic medical 3
exams on children suspected of having been physically abused 4
From General Revenue Fund (1101) ............................................................................$180,000 5

Section 14.190. To the Department of Public Safety 1
For the State Highway Patrol 2
For Administration 3
Expense and Equipment 4
From State Highways and Transportation Department Fund (1644) ............................$200,000 5

Section 14.195. To the Department of Public Safety 1
For the State Highway Patrol 2
For fringe benefits, incl uding retirement contributions for members of 3
the Missouri Department of Tran sportation and Highway Patrol 4
Employees' Retirement System, and insurance premiums 5
Expense and Equipment 6
From General Revenue Fund (1101) ..............................................................................$66,992 7
From Department of Public Safety Federal Fund (1152) ...................................................6,524 8
From Gaming Commission Fund (1286) .................................................................................70 9
From Highway Patrol Inspection Fund (1297) ......................................................................362 10
From Water Patrol Division Fund (1400) ..............................................................................596 11
From Veterans Health and Community Reinvestment Fund (1608) .....................................456 12
From State Highways and Transportation Department Fund (1644) ..............................197,698 13
From Criminal Record System Fund (1671) ....................................................................16,747 14
From Highway Patrol Academy Fund (1674) .......................................................................579 15
From Highway Patrol Traffic Records Fund (1758) ..............................................................122 16
From DNA Profiling Analysis Fund (1772) ........................................................ 215 17
Total ..............................................................................................................................$290,361 18

Section 14.200. To the Department of Public Safety 1
Funds are to be transferred out of the State Treasury to the 2
Missouri Veterans’ Homes Fund 3
From Veterans Reinvestment Fund (1611) ................................................................$2,743,076 4
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Section 14.205. To the Department of Public Safety 1
For the State Emergency Management Agency 2
For the Missouri Disaster Medical Assistance Team 3
Personal Service ................................................................................................$175,000 4
Expense and Equipment ........................................................................... 215,000 5
From General Revenue Fund (1101) ............................................................................$390,000 6

Section 14.210. To the Department of Public Safety 1
For the State Emergency Management Agency 2
For all allotments, grants, and co ntributions from federal and other 3
sources that are deposited in the State Treasury for the use of the 4
State Emergency Management Agen cy for alleviating distress 5
from disasters 6
From Missouri Disaster Fund (1663) .....................................................................$800,000,000 7

For matching funds for federal gran ts and for emergency assistance 8
expenses of the State Emerge ncy Management Agency as 9
provided in Section 44.032, RSMo 10
From General Revenue Fund (1101) .........................................................................30,000,000 11

Funds are to be transferred out of the State Treasury to the 12
Disaster Relief Fund 13
From General Revenue Fund (1101) .........................................................................86,000,000 14

For expenses of any City not within a county responding to a disaster for 15
which a presidential declaration has been requested by the 16
Governor, to provide relief associated with such disaster 17
From Disaster Relief Fund (1220) ....................................................................... 86,000,000 18
Total ....................................................................................................................$1,002,000,000 19

Section 14.215. To the Department of Corrections 1
For the Division of Human Services 2
For the operation of institutional facilities, utilities, systems furniture, 3
and structural modifications 4
Expense and Equipment 5
From General Revenue Fund (1101) ............................................................................$194,800 6
From Working Capital Revolving Fund (1510) ................................................... 484,226 7
Total ..............................................................................................................................$679,0268

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Section 14.220. To the Department of Corrections 1
For the Division of Human Services 2
For the purchase, transportation, an d storage of food and food service 3
items, and operational expenses of food preparation facilities at 4
all correctional institutions 5
From General Revenue Fund (1101) .........................................................................$5,821,350 6

Section 14.225. To the Department of Corrections 1
For the Division of Offender Rehabilitative Services 2
For contractual services for offender physical and mental health care 3
Expense and Equipment 4
From General Revenue Fund (1101) .........................................................................$7,157,630 5

Section 14.230. To the Department of Corrections 1
For the Division of Probation and Parole 2
For community supervision centers 3
Personal Service 4
From General Revenue Fund (1101) (Not to exceed 10.00 F.T.E.) ........................................$0 5

Section 14.235. To the Department of Mental Health 1
For the Office of the Director 2
For paying overtime to state empl oyees. Nonexempt state employees 3
identified by Section 105.935, RSMo, will be paid first with any 4
remaining funds being used to pay overtime to any other state 5
employees 6
Personal Service 7
From General Revenue Fund (1101) .......................................................................$27,864,720 8

Section 14.240. To the Department of Mental Health 1
For the Office of the Director 2
For grant funding for the Crisis Counseling Program to provide services 3
related to presidential disaster declarations 4
Personal Service ................................................................................................$151,309 5
Expense and Equipment ........................................................................... 2,893,805 6
From Department of Mental Health Federal Fund (1148) (Not to exceed 7
1.60 F.T.E.) ....................................................................................................$3,045,1148

Section 14.242. To the Department of Mental Health 1
For the Division of Behavioral Health 2
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For a psychology internship program 3
Personal Service ................................................................................................$218,192 4
Expense and Equipment ........................................................................... 10,500 5
From Mental Health Earnings Fund (1288) (Not to exceed 5.60 F.T.E.) .....................$228,692 6

Section 14.245. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For treatment of alcohol and drug abuse 3
From General Revenue Fund (1101) ............................................................................$741,435 4
From Department of Mental Health Federal Fund (1148) ...........................................2,271,199 5
From Opioid Addiction Treatment and Recovery Fund (1705) .....................................607,662 6

For adult psychiatric services 7
Expense and Equipment 8
From General Revenue Fund (1101) ................................................................... 58,335 9
Total ...........................................................................................................................$3,678,631 10

Section 14.250. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For treatment of alcohol and drug a buse for payment of services to 3
Certified Community Behavioral Health Organizations 4
Expense and Equipment 5
From General Revenue Fund (1101) ............................................................................$883,410 6
From Department of Mental Health Federal Fund (1148) ...........................................1,288,779 7
From Mental Health Reinvestment Fund (1352) .........................................................6,600,000 8

For adult psychiatric services and community programs 9
Expense and Equipment 10
From General Revenue Fund (1101) ...........................................................................3,716,534 11

For youth psychiatric services and community programs 12
Expense and Equipment 13
From General Revenue Fund (1101) ...........................................................................6,514,628 14
From Department of Mental Health Federal Fund (1148) ................................... 7,837,300 15
Total .........................................................................................................................$26,840,651 16

Section 14.252. To the Department of Mental Health 1
For the Division of Behavioral Health 2
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For outpatient competency restorati on services authorized by Section 3
552.020, RSMo 4
Program Distribution 5
From General Revenue Fund (1101) .........................................................................$1,473,223 6
From Department of Mental Health Federal Fund (1148) ................................... 1,578,597 7
Total ...........................................................................................................................$3,051,820 8

Section 14.255. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Fulton State Hospital 3
Expense and Equipment 4
From General Revenue Fund (1101) ..............................................................................$75,458 5

Section 14.260. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Northwest Missouri Psychiatric Rehabilitation Center 3
Expense and Equipment 4
From General Revenue Fund (1101) ............................................................................$165,716 5

Section 14.265. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Forensic Treatment Center 3
Expense and Equipment 4
From General Revenue Fund (1101) ............................................................................$176,6895

Section 14.270. To the Department of Mental Health 1
For the Division of Behavioral Health 2
For the Southeast Missouri Mental Health Center 3
Expense and Equipment 4
From General Revenue Fund (1101) ..............................................................................$70,734 5

Section 14.285. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
To pay the state operated Interm ediate Care Facilities for 3
Individuals with Intellectual Disabilities (ICF/ID) provider tax 4
Expense and Equipment 5
From General Revenue Fund (1101) ............................................................................$135,897 6

Section 14.290. To the Department of Mental Health 1
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For the Division of Developmental Disabilities 2
For community programs, includi ng long-term care transformation 3
initiatives and efforts for reimbur sement of providers based on 4
integration of key identified out comes that produce value-based 5
care delivery models to improve quality and efficiency of the 6
total care delivered to individuals 7
From Department of Mental Health Federal Fund (1148) .......................................$23,762,797 8

Section 14.295. To the Department of Mental Health 1
For the Division of Developmental Disabilities 2
For a designated provider (includi ng a provider that operates in 3
coordination with a team of health care professionals) or a health 4
team selected by an eligible individual with chronic conditions to 5
provide health home services, de signed to coordinate care for 6
individuals with identified hea lth risks and chronic health 7
conditions receiving DD HCBS services 8
Program Distribution 9
From General Revenue Fund (1101) .........................................................................$1,231,506 10
From Department of Mental Health Federal Fund (1148) ...........................................9,740,678 11
From Title XXI - Children’s Health Insurance Program Federal 12
Fund (1159) .............................................................................................. 1,342,872 13
Total .........................................................................................................................$12,315,056 14

Section 14.300. To the Department of Mental Health 1
Funds are to be transferred out of the State Treasury, to Federal 2
Funds 3
From Intermediate Care Facility Intellectually Disabled Reimbursement 4
Allowance Fund (1901) ......................................................................................$30,208 5

Section 14.305. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For providing consumer directed pe rsonal care assistance services at a 3
rate not to exceed sixty percen t (60%) of the average monthly 4
Medicaid cost of nursing facility care, includi ng payments to 5
providers for value-based payment initiatives, provided ten 6
percent (10%) flexibility is a llowed between this section and 7
Section 14.310 to allow flexibility within the Medicaid Home and 8
Community Based Services Program 9
Expense and Equipment 10
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From General Revenue Fund (1101) ............................................................................$629,442 11
From Department of Health and Senior Services Federal Fund 12
(1143) ....................................................................................................... 27,424,255 13
Total .........................................................................................................................$28,053,697 14

Section 14.310. To the Department of Health and Senior Services 1
For the Division of Senior and Disability Services 2
For respite care, homemaker chore, personal care, assistive technology, 3
adult day care, AIDS, children's waiver services, home-delivered 4
meals, Programs of All Inclusive Care for the Elderly, the 5
Structured Family Caregiver Waiver, Brain Injury Waiver, other 6
related services, and program ma nagement under the Medicaid 7
fee-for-service and managed care programs, including payments 8
to providers for value-based pa yment initiatives, provided that 9
individuals eligible for or rece iving nursing home care must be 10
given the opportunity to have those Medicaid dollars follow them 11
to the community to the extent necessary to meet their unmet 12
needs as determined by 19 CSR 30 81.030 and further be allowed 13
to choose the personal care program option, including the option 14
of assistive technology, in the community that best meets the 15
individuals' unmet needs, provide d ten percent (10%) flexibility 16
is allowed between this sect ion and Section 14.305 to allow 17
flexibility within the Medica id Home and Community Based 18
Services Program, and further provided that individuals eligible 19
for the Medicaid Personal Care Option must be allowed to 20
choose, from among all the prog ram options, that option which 21
best meets their unmet needs as determined by 19 CSR 30 22
81.030; and also be allowed to have their Medicaid funds follow 23
them to the extent necessary to meet their unmet needs whichever 24
option they choose. This language does not create any 25
entitlements not established by statute 26
Program Distribution 27
From General Revenue Fund (1101) .........................................................................$8,687,520 28
From Department of Health and Senior Services Federal Fund (1143) .............. 82,001,904 29
Total .........................................................................................................................$90,689,424 30

Section 14.316. To the Department of Health and Senior Services 1
For a grant to the Department of Mental Health 2
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Funds are to be transferred out of the State Treasury for substance 3
abuse disorder treatment and education programs as provided by 4
Article XIV, Section 2 of the Missouri Constitution, to the Mental 5
Health Reinvestment Fund, provided the state treasurer shall 6
invest monies in the fund in th e same manner as other funds are 7
invested, and any interest and monies earned on such investments 8
shall be deposited to the cr edit of the Mental Health 9
Reinvestment Fund, and furthe r provided that any monies 10
remaining in the Mental Health Reinvestment Fund at the end of 11
the biennium shall not revert to the credit of the General Revenue 12
Fund 13
From Health Reinvestment Fund (1640) ...................................................................$6,600,000 14

Section 14.317. To the Department of Health and Senior Services 1
For the Division of Regulation and Licensure 2
For the Nursing Home Staffing Campai gn (NHSC) in partnership with 3
the Centers for Medicare and Me dicaid (CMS) to increase the 4
number of nurses working in nursing homes 5
Program Distribution 6
From Nursing Facility Quality of Care Fund (1271) .................................................$2,649,459 7

Section 14.320. 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) .......................................$5,468,361 4

Section 14.325. To the Department of Social Services 1
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 Victims of Crime Act Federal Fund (1146) ........................................................$200,000 7
From Department of Social Services Federal Stimulus Fund (2355) .............................750,000 8
From Department of Social Services Federal Stimulus 2021 Fund 9
(2456) ....................................................................................................... 200,000 10
Total ...........................................................................................................................$1,150,000 11

SS SCS HCS HB 2014 18

Section 14.330. 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 5
From General Revenue Fund (1101) ............................................................................$116,923 6

Section 14.335. To the Department of Social Services 1
For the Family Support Division 2
For the income maintenance field staff and operations 3
Expense and Equipment 4
From General Revenue Fund (1101) .........................................................................$3,030,000 5
From Department of Social Services Federal Fund (1610) ................................. 9,090,000 6
Total .........................................................................................................................$12,120,000 7

Section 14.340. 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) .........................................................................$9,044,653 5
From Department of Social Services Federal Fund (1610) ................................. 22,971,458 6
Total .........................................................................................................................$32,016,111 7

Section 14.345. 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) .......................................$4,000,000 4

Section 14.350. 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 fa cilities, provided ten percent 4
(10%) flexibility is allowed be tween subsections within this 5
section 6
For placements in a Qualified Re sidential Treatme nt Program/non-7
Institution for Mental Disease (QRTP/non-IMD) designated 8
facilities 9
From General Revenue Fund (1101) .........................................................................$1,739,023 10
From Department of Social Services Federal Fund (1610) ............................................948,314 11
SS SCS HCS HB 2014 19

For placements in Qualified Residential Treatment Programs/Institution 12
for Mental Disease (QRTP/IMD) designated facilities 13
From General Revenue Fund (1101) ..............................................................................582,501 14
From Department of Social Services Federal Fund (1610) ................................. 439,151 15
Total ...........................................................................................................................$3,708,989 16

Section 14.355. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Rural Health Transformation Program 3
From Rural Health Transformation Fund (1125) ...................................................$100,000,000 4

Section 14.360. To the Department of Social Services 1
For the MO HealthNet Division 2
For pharmaceutical payments under th e MO HealthNet fee-for-service 3
program, professional fees for pharmacists, and for a 4
comprehensive chronic care risk management program, provided 5
ten percent (10%) flexibility is allowed between this subsection 6
and Sections 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 7
14.400 8
From Title XIX - Federal Fund (1163) ..................................................................$101,874,6269

Section 14.365. 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) ............................................................................$113,011 5

Section 14.370. 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, telemedicine 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
percent (10%) flexibility is allowed between this subsection and 11
SS SCS HCS HB 2014 20

Sections 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 12
14.400 13
From General Revenue Fund (1101) .........................................................................$7,699,304 14
From Title XIX - Federal Fund (1163) ......................................................................69,266,144 15

For payment of physician and related services to Certified Community 16
Behavioral Health Organiza tions (CCBHO), provided that 17
Applied Behavioral Analysis (ABA) services are included in the 18
CCBHO Prospective Payment System 19
From General Revenue Fund (1101) ................................................................... 18,904,867 20
Total .........................................................................................................................$95,870,315 21

Section 14.375. 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
From Department of Social Services Federal Fund (1610) .......................................$4,500,000 6
From Third Party Liability Collections Fund (1120) ........................................... 4,500,000 7
Total ...........................................................................................................................$9,000,000 8

Section 14.380. 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 14.360, 14.370, 14.380, 8
14.385, 14.390, 14.395, and 14.400 9
From General Revenue Fund (1101) .......................................................................$26,645,465 10
From Title XIX - Federal Fund (1163) ................................................................ 49,296,410 11
Total .........................................................................................................................$75,941,875 12

Section 14.385. 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
SS SCS HCS HB 2014 21

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 14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 11
14.400 12
From General Revenue Fund (1101) .......................................................................$33,202,526 13
From Title XIX - Federal Fund (1163) ................................................................ 801,857 14
Total .........................................................................................................................$34,004,383 15

Section 14.390. To the Department of Social Services 1
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
14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 14.400 19
From General Revenue Fund (1101) .......................................................................$48,753,380 20
From Title XIX - Federal Fund (1163) ................................................................ 74,260,641 21
Total .......................................................................................................................$123,014,021 22

Section 14.395. 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
SS SCS HCS HB 2014 22

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
14.360, 14.370, 14.380, 14.385, 14.390, 14.395, and 14.400 14
From Title XIX - Federal Fund (1163) ....................................................................$10,599,248 15

For Safety Net Payments 16
From General Revenue Fund (1101) ................................................................... 29,487,659 17
Total .........................................................................................................................$40,086,907 18

Section 14.400. 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) .......................................................................$73,911,339 5
From Title XIX - Adult Expansion Federal Fund (1358) ........................................343,843,374 6
From Federal Reimbursement Allowance Fund (1142) .................................................435,065 7
From Pharmacy Reimbursement Allowance Fund (1144) .............................................423,042 8
From Nursing Facility Reimbursement Allowance Fund (1196) ...................................619,607 9

For payments to the Department of Mental Health for Community 10
Psychiatric Rehabilitation (CPR) services, Comprehensive 11
Substance Abuse Treatment and Rehabilitation (CSTAR) 12
services, Targeted Case Management (TCM) for behavioral 13
health services, and Certified Community Behavioral Health 14
Organizations (CCBHO) for MO HealthNet participants and the 15
uninsured 16
From Title XIX - Adult Expansion Federal Fund (1358) ..........................................59,741,366 17
From Department of Social Services Intergovernmental Transfer Fund 18
(1139) ....................................................................................................... 6,637,93 0 19
Total .......................................................................................................................$485,611,723 20

Section 14.405. To the Department of Social Services 1
SS SCS HCS HB 2014 23

For payments to the Department of Mental Health for Community 2
Psychiatric Rehabilitation (CPR) services, Comprehensive 3
Substance Abuse Treatment and Rehabilitation (CSTAR) 4
services, Targeted Case Management (TCM) for behavioral 5
health services, and Certified Community Behavioral Health 6
Organizations (CCBHO) for MO HealthNet participants and the 7
uninsured 8
From Title XIX - Federal Fund (1163) ....................................................................$47,690,432 9

Section 14.410. For the Office of Administration 1
For the Division of Facilities Management, Design and Construction 2
For the payment of real property leas es, utilities, systems furniture, and 3
structural modifications 4
For the Department of Elementary and Secondary Education 5
Expense and Equipment 6
From General Revenue Fund (1101) ................................................................................$9,160 7
From Vocational Rehabilitation Fund (1104) ...................................................................34,263 8
From DESE - Federal Fund (1105) ........................................................................................295 9
From Child Care and Development Block Grant - Federal Fund (1168) ...........................1,400 10
From Assistive Technology Federal Fund (1188) .................................................................744 11
From Deaf Relay Service and Equipment Distribution Fund (1559) ....................................524 12
From Charter Public School Commission Revolving Fund (1860) .......................................395 13
From Assistive Technology Loan Revolving Fund (1889) ...................................................225 14

For the Department of Higher Education and Workforce Development 15
Expense and Equipment 16
From Job Development and Training Fund (1155) ..........................................................24,899 17
From Special Employment Security Fund (1949) ..............................................................4,206 18

For the Department of Revenue 19
Expense and Equipment 20
From General Revenue Fund (1101) ................................................................................13,497 21

For the Department of Revenue 22
For the State Lottery Commission 23
Expense and Equipment 24
From Lottery Enterprise Fund (1657) .................................................................................8,387 25

For the Office of Administration 26
SS SCS HCS HB 2014 24

Expense and Equipment 27
From General Revenue Fund (1101) ................................................................................17,085 28

For the Office of Administration 29
For the Ethics Commission 30
Expense and Equipment 31
From General Revenue Fund (1101) ..................................................................................2,254 32

For the Department of Agriculture 33
Expense and Equipment 34
From General Revenue Fund (1101) ..................................................................................6,315 35
From Department of Agriculture - Federal Fund (1133) .........................................................65 36
From Grain Inspection Fee Fund (1647) ............................................................................1,011 37
From Petroleum Inspection Fund (1662) ...............................................................................451 38
From Agriculture Protection Fund (1970) ...............................................................................36 39

For the Department of Natural Resources 40
Expense and Equipment 41
From General Revenue Fund (1101) ..................................................................................9,041 42
From DNR- Federal Fund (1140) .......................................................................................6,357 43
From Missouri Air Emission Reduction Fund (1267) ...........................................................612 44
From State Park Earnings Fund (1415) ..............................................................................1,608 45
From Historic Preservation Revolving Fund (1430) .............................................................560 46
From DNR Cost Allocation Fund (1500) ...........................................................................1,670 47
From Natural Resources Protection Fund (1555) ..................................................................179 48
From Natural Resources Protection Fund Water Pollution Permit Fee 49
Subaccount (1568) ..................................................................................................1,849 50
From Solid Waste Management Fund Scrap Tire Subaccount (1569) ..................................543 51
From Solid Waste Management Fund (1570) .....................................................................2,739 52
From Natural Resources Protection Fund Air Pollution Asbestos Fee 53
Subaccount (1584) .....................................................................................................396 54
From Petroleum Storage Tank Insurance Fund (1585) ..........................................................741 55
From Underground Storage Tank Regulation Program Fund (1586) ....................................227 56
From Natural Resources Protection Fund Air Pollution Permit Fee 57
Subaccount (1594) ..................................................................................................4,739 58
From Parks Sales Tax Fund (1613) ....................................................................................2,447 59
From Soil and Water Sales Tax Fund (1614) ........................................................................526 60
From Hazardous Waste Fund (1676) ..................................................................................2,629 61
From Safe Drinking Water Fund (1679) .............................................................................1,967 62
SS SCS HCS HB 2014 25

For the Department of Economic Development 63
Expense and Equipment 64
From General Revenue Fund (1101) .....................................................................................204 65

For the Department of Commerce and Insurance 66
Expense and Equipment 67
From Office of Public Counsel Fund (1508) ......................................................................1,886 68
From Division of Finance Fund (1550) ..............................................................................2,298 69
From Insurance Examiners Fund (1552) ...............................................................................121 70
From Insurance Dedicated Fund (1566) ................................................................................308 71
From Manufactured Housing Fund (1582) ............................................................................337 72
From Public Service Commission Fund (1607) ................................................................17,662 73
From Professional Registration Fees Fund (1689) ..................................................................40 74

For the Department of Labor and Industrial Relations 75
Expense and Equipment 76
From General Revenue Fund (1101) .....................................................................................437 77
From DOLIR - Commission on Human Rights - Federal Fund (1117) .................................206 78
From DOLIR Administrative Fund (1122) ..............................................................................79 79
From Unemployment Compensation Administration Fund (1948) ....................................1,482 80
From Workers’ Compensation Fund (1652) .......................................................................7,299 81

For the Department of Public Safety 82
Expense and Equipment 83
From State Emergency Management - Federal Fund (1145) .................................................149 84
From Veterans’ Commission Capital Improvement Trust Fund (1304) .............................2,664 85
From Division of Alcohol and Tobacco Control Fund (1544) ...........................................2,269 86

For the Department of Public Safety 87
For the State Highway Patrol 88
Expense and Equipment 89
From General Revenue Fund (1101) ..................................................................................3,668 90
From Department of Public Safety - Federal Fund (1152) ....................................................159 91
From State Highways and Transportation Department Fund (1644) ................................21,442 92

For the Department of Public Safety 93
For the Missouri Gaming Commission 94
Expense and Equipment 95
From Gaming Commission Fund (1286) ............................................................................7,993 96
SS SCS HCS HB 2014 26

For the Missouri National Guard 97
Expense and Equipment 98
From General Revenue Fund (1101) .....................................................................................909 99
From Adjutant General - Federal Fund (1190) .................................................................21,848 100
From Federal Drug Seizure - Federal Fund (1194) ...............................................................432 101

For the Department of Corrections 102
Expense and Equipment 103
From General Revenue Fund (1101) ..............................................................................118,713 104
From Working Capital Revolving Fund (1510) ..................................................................4,931 105

For the Department of Mental Health 106
Expense and Equipment 107
From General Revenue Fund (1101) ................................................................................60,024 108

For the Department of Health and Senior Services 109
Expense and Equipment 110
From General Revenue Fund (1101) ................................................................................65,693 111
From Department of Health and Senior Services - Federal Fund (1143) .........................57,263 112

For the Department of Social Services 113
Expense and Equipment 114
From General Revenue Fund (1101) ..............................................................................196,310 115
From Department of Social Services - Federal Fund (1610) ..........................................101,517 116

For the Lieutenant Governor 117
Expense and Equipment 118
From General Revenue Fund (1101) ..................................................................................4,689 119
From Missouri Arts Council Trust Fund (1262) .................................................................4,974 120

For the Attorney General 121
Expense and Equipment 122
From General Revenue Fund (1101) ................................................................................31,164 123
From Attorney General - Federal Fund (1136) ...................................................................9,768 124
From Merchandising Practices Revolving Fund (1631) .....................................................9,353 125
From Workers’ Compensation Fund (1652) .......................................................................7,122 126
From Workers’ Compensation - Second Injury Fund (1653) .............................................7,122 127
From Hazardous Waste Fund (1676) .....................................................................................144 128
From Missouri Office of Prosecution Services Fund (1680) ..............................................1,406 129

SS SCS HCS HB 2014 27

For the Secretary of State 130
Expense and Equipment 131
From General Revenue Fund (1101) ..................................................................................9,830 132
From Local Records Preservation Fund (1577) .....................................................................819 133

For the State Auditor 134
Expense and Equipment 135
From General Revenue Fund (1101) ..................................................................................1,262 136

For the Judiciary 137
Expense and Equipment 138
From General Revenue Fund (1101) ..............................................................................118,559 139
From Judiciary- Federal Fund (1137) ....................................................................................409 140
From Judiciary Education and Training Fund (1847) .......................................... 2,607 141
Total ...........................................................................................................................$1,071,613 142

Section 14.415. For the Office of Administration 1
For the Division of Facilities Management, Design and Construction 2
For operation of state-owned facilitie s, utilities, systems furniture, and 3
structural modifications 4
For the Department of Elementary and Secondary Education 5
Expense and Equipment 6
From General Revenue Fund (1101) ................................................................................$9,314 7
From Vocational Rehabilitation Fund (1104) .................................................................191,406 8
From DESE - Federal Fund (1105) ...................................................................................12,517 9
From Child Care and Development Block Grant - Federal Fund (1168) .........................19,621 10

For the Department of Higher Education and Workforce Development 11
Expense and Equipment 12
From General Revenue Fund (1101) ..................................................................................5,385 13
From Job Development and Training Fund (1155) ..........................................................28,570 14

For the Department of Revenue 15
Expense and Equipment 16
From General Revenue Fund (1101) ..............................................................................101,793 17

For the Office of Administration 18
Expense and Equipment 19
From General Revenue Fund (1101) ..............................................................................229,271 20
SS SCS HCS HB 2014 28

From Children’s Trust Fund (1694) .......................................................................................543 21

For the Department of Agriculture 22
Expense and Equipment 23
From General Revenue Fund (1101) ..................................................................................4,011 24
From Department of Agriculture - Federal Fund (1133) .......................................................788 25
From Animal Health Laboratory Fee Fund (1292) ................................................................781 26
From Animal Care Reserve Fund (1295)...............................................................................115 27
From Commodity Council Merchandising Fund (1406) .........................................................63 28
From Single - Purpose Animal Facilities Loan Program Fund (1408) ....................................75 29
From State Milk Inspection Fees Fund (1645) ........................................................................83 30
From Grain Inspection Fees Fund (1647) ...........................................................................7,712 31
From Petroleum Inspection Fund (1662) ............................................................................2,409 32
From Missouri Wine and Grape Fund (1787) ........................................................................204 33
From Agriculture Development Fund (1904) ..........................................................................37 34
From Agriculture Protection Fund (1970) ..........................................................................5,905 35

For the Department of Natural Resources 36
Expense and Equipment 37
From General Revenue Fund (1101) ................................................................................36,107 38
From DNR - Federal Fund (1140) ......................................................................................5,753 39
From Missouri Air Emission Reduction Fund (1267) ........................................................2,620 40
From DNR Cost Allocation Fund (1500) ...........................................................................2,509 41
From Natural Resources Protection Fund Water Pollution Permit Fee 42
Subaccount (1568) ................................................................................................10,818 43
From Solid Waste Management Fund Scrap Tire Subaccount (1569) ...............................2,274 44
From Solid Waste Management Fund (1570) .....................................................................2,492 45
From Metallic Minerals Waste Management Fund (1575) ......................................................82 46
From Natural Resources Protection Fund Air Pollution Asbestos Fee 47
Subaccount (1584) .......................................................................................................69 48
From Natural Resources Protection Fund Air Pollution Permit Fee 49
Subaccount (1594) ................................................................................................10,068 50
From Soil and Water Sales Tax Fund (1614) ........................................................................703 51
From Energy Set-Aside Program Fund (1667) ......................................................................623 52
From Hazardous Waste Fund (1676) ..................................................................................6,919 53
From Safe Drinking Water Fund (1679) ...........................................................................10,620 54
From Mined Land Reclamation Fund (1906) ........................................................................218 55
From Energy Futures Fund (1935) ..........................................................................................22 56

SS SCS HCS HB 2014 29

For the Department of Economic Development 57
Expense and Equipment 58
From General Revenue Fund (1101) ..................................................................................5,060 59
From Division of Tourism Supplemental Revenue Fund (1274) .......................................1,770 60
From Department of Economic Development Administrative 61
Fund (1547) ................................................................................................................604 62

For the Department of Commerce and Insurance 63
Expense and Equipment 64
From Division of Credit Unions Fund (1548) .......................................................................638 65
From Division of Finance Fund (1550) ............................................................................25,211 66
From Insurance Examiners Fund (1552) ...............................................................................710 67
From Insurance Dedicated Fund (1566) .............................................................................9,601 68
From Public Service Commission Fund (1607) ................................................................26,481 69
From Professional Registration Fees Fund (1689) .............................................................5,526 70

For the Department of Labor and Industrial Relations 71
Expense and Equipment 72
From General Revenue Fund (1101) ..................................................................................9,886 73
From DOLIR - Commission on Human Rights - Federal Fund (1117) ..............................3,842 74
From DOLIR Administrative Fund (1122) .........................................................................9,529 75
From Division of Labor Standards - Federal Fund (1186) ....................................................153 76
From Unemployment Compensation Administration Fund (1948) ..................................62,446 77
From Workers’ Compensation Fund (1652) .....................................................................83,198 78
From Special Employment Security Fund (1949) ..............................................................1,443 79

For the Department of Public Safety 80
Expense and Equipment 81
From General Revenue Fund (1101) ..................................................................................9,367 82
From Veterans’ Commission Capital Improvement Trust Fund (1304) ...........................10,701 83
From Division of Alcohol and Tobacco Control Fund (1544) .........................................16,766 84

For the Department of Public Safety 85
For the State Highway Patrol 86
Expense and Equipment 87
From General Revenue Fund (1101) ................................................................................13,296 88
From State Highways and Transportation Department Fund (1644) ................................66,277 89

For the Department of Public Safety 90
For the Missouri Gaming Commission 91
SS SCS HCS HB 2014 30

Expense and Equipment 92
From Gaming Commission Fund (1286) ..........................................................................15,463 93

For the Department of Corrections 94
Expense and Equipment 95
From General Revenue Fund (1101) ..............................................................................200,447 96

For the Department of Mental Health 97
Expense and Equipment 98
From General Revenue Fund (1101) ..............................................................................113,387 99
From Department of Mental Health Federal Fund (1148) ................................................22,831 100
From Health Initiatives Fund (1275) .....................................................................................163 101

For the Department of Health and Senior Services 102
Expense and Equipment 103
From General Revenue Fund (1101) ................................................................................97,731 104
From Department of Health and Senior Services - Federal Fund (1143) .......................105,232 105

For the Department of Social Services 106
Expense and Equipment 107
From General Revenue Fund (1101) ..............................................................................956,159 108
From Temporary Assistance for Needy Families Fund (1199) ........................................19,482 109
From Department of Social Services - Federal Fund (1610) ..........................................188,148 110
From Health Initiatives Fund (1275) ..................................................................................5,340 111
From Department of Social Services Educational Improvement 112
Fund (1620) ................................................................................................................850 113

For the Governor 114
Expense and Equipment 115
From General Revenue Fund (1101) ................................................................................23,358 116

For the Lieutenant Governor 117
Expense and Equipment 118
From General Revenue Fund (1101) ..................................................................................1,206 119

For the General Assembly 120
Expense and Equipment 121
From General Revenue Fund (1101) ................................................................................41,794 122

For the Secretary of State 123
SS SCS HCS HB 2014 31

Expense and Equipment 124
From General Revenue Fund (1101) ................................................................................39,786 125
From Secretary of State’s Technology Trust Fund Account (1266) ......................................284 126
From Local Records Preservation Fund (1577) .....................................................................154 127
From Investor Education and Protection Fund (1829) ..........................................................583 128

For the State Auditor 129
Expense and Equipment 130
From General Revenue Fund (1101) ................................................................................39,128 131

For the Attorney General 132
Expense and Equipment 133
From General Revenue Fund (1101) ................................................................................34,787 134
From Attorney General - Federal Fund (1136) .................................................................16,886 135
From Natural Resources Protection Water Pollution Permit Fee 136
Subaccount Fund (1568) ............................................................................................504 137
From Workers’ Compensation Fund (1652) .......................................................................8,657 138
From Workers’ Compensation Second Injury Fund (1653) ...............................................8,660 139
From Hazardous Waste Fund (1676) .....................................................................................211 140

For the State Treasurer 141
Expense and Equipment 142
From State Treasurer’s General Operations Fund (1164) ...................................................4,099 143

For the Judiciary 144
Expense and Equipment 145
From General Revenue Fund (1101) ................................................................... 5,882 146
Total ...........................................................................................................................$3,026,217 147

Section 14.420. To the Office of Administration 1
For the Division of Facilities Management, Design and Construction 2
For the operation of institutional facilities, utilities, systems furniture, 3
and structural modifications 4
For the Department of Elementary and Secondary Education 5
Expense and Equipment 6
From General Revenue Fund (1101) ............................................................................$189,251 7

For the Department of Mental Health 8
Expense and Equipment 9
From General Revenue Fund (1101) ..............................................................................964,478 10
SS SCS HCS HB 2014 32

For the Department of Social Services 11
Expense and Equipment 12
From General Revenue Fund (1101) ..............................................................................156,152 13
From Department of Social Services Federal Fund (1610) ................................. 35,859 14
Total ...........................................................................................................................$1,345,740 15

PART 2

Section 14.2005. To the Office of Administration 1
In reference to all sections in Part 1 of this act to said department: 2
The department shall prioritize existing enterprise agreements 3
when considering procurement or additional functionality for any 4
information technology for citi zen engagement or supporting 5
state workers and programs. Prior to obligating the state to any 6
ongoing IT expense, including subscription or maintenance costs, 7
departments shall evaluate th e state’s existing enterprise 8
agreements, including enterprise-wide licensing and other IT 9
assets. Prior to purchasing a new subscription for any 10
functionality described in this section, departments shall first 11
consider the state enterprise agre ements in existence at the time 12
of procurement. If such an existing enterprise agreement is 13
appropriate for the functionality, it shall be given preference in 14
the procurement. Additionally, de partments shall seek to adopt 15
functionality on any platform with an enterprise-wide agreement 16
with the state prior to incurring costs for additional platforms or 17
programs. All IT procurements processed through the Office of 18
Administration shall include a statement outlining compliance 19
with this section. 20

Section 14.2010. To the Department of Public Safety 1
In reference to Sections 14.170 through and including 14.180 of 2
Part 1 of this act: 3
No funds shall be spent for any flight on a state aircraft where an 4
elected official will be on board without a flight plan being made 5
publicly available via a global aviation data services organization 6
that operates both a website a nd mobile application which 7
provides free flight tracking of both private and commercial 8
aircraft. 9
SS SCS HCS HB 2014 33

Section 14.2015. To the Department of Mental Health 1
In reference to Sections 14.245 and 14.250 of Part 1 of this act: 2
No funds shall be expended in furtherance of provider rates 3
greater than the rate in effect on Janua ry 1, 2025, with the 4
exception of Certified Community Behavioral Health Clinics, for 5
which no funds shall be expended in furtherance of a Medicare 6
Economic Index rate increase of 2. 5% greater than the rate in 7
effect on January 1, 2025, with the exception of revenue 8
maximization initiatives, and further excepting rates of cost-9
based and actuarially sound rate changes for Comprehensive 10
Substance Treatment and Re habilitation (CSTAR) and 11
Compulsive Gambling; and fu rther excepting providers of 12
children’s residential services classified as an Institution of 13
Mental Disease (IMD) Qualified Residential Treatment Program 14
(QRTP) or as a non-IMD QRTP, for which no funds shall be 15
expended in furtherance of rates greater than: $194.47 per day for 16
Level II, $239.16 per day for Level III, $253.80 per day for Level 17
IV. 18

Section 14.2020. To the Department of Mental Health 1
In reference to Section 14.290 of Part 1 of this act: 2
No funds shall be expended in furtherance of waiver slots 3
assigned on July 1, 2025, except for: 400 additional waiver slots 4
for Crisis Residential Services, 54 additional slots for individuals 5
transitioning from Nursing Ho mes, 48 additional slots for 6
children transitioning from DSS Children's Division funded 7
waiver slots, 500 additional wa iver slots for the Community 8
Support Waiver for prevention of in-home wait list, 200 9
additional waiver slots for Partnership for Hope services, and 83 10
additional waiver slots for ch ildren transitioning out of the 11
MoCDD Waiver. 12

Section 14.2025. To the Department of Mental Health 1
In reference to Section 14.295 of Part 1 of this act: 2
No funds shall be expended in furtherance of a DD Health Home 3
rate of $105.90 PMPM.4

Section 14.2030. To the Department of Health and Senior Services 1
In reference to Sections 14.305 and 14.310 of Part 1 of this act: 2
SS SCS HCS HB 2014 34

No funds shall be expended in furtherance of provider rates 3
greater than the rate in eff ect on January 1, 2025, except Private 4
Duty Nursing rates for which no funds shall be expended in 5
furtherance of provider rates fo r Private Duty Nursing greater 6
than a rate of $15.20 per fifteen -minute unit of service, and 7
further excepting provider reassessment services rates, for which 8
no funds shall be expended in furtherance of rates greater than 9
$100 per assessment, unless such provider is enrolled in the 10
Value Based Purchasing Reasse ssment Program, and further 11
excepting the Medicaid Home-Delivered Meals rate for which no 12
funds shall be expended in furt herance of provider rates for 13
Medicaid Home-Delivered Meals greater than $7.14 per meal. 14

Section 14.2035. To the Department of Health and Senior Services 1
In reference to Section 14.317 of Part 1 of this act: 2
No funds shall be expended fo r Certified Nursing Assistant 3
(CNA) training reimbursement greater than $1,500 per enrollee. 4

Section 14.2040. To the Department of Social Services 1
In reference to Section 14.330 of Part 1 of this act: 2
No funds shall be expended in furtherance of reimbursement rates 3
greater than $17 per day. 4

Section 14.2045. To the Department of Social Services 1
In reference to Section 14.380 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 14.2050. To the Department of Social Services 1
In reference to Section 14.390 of Part 1 of this act: 2
SS SCS HCS HB 2014 35

No funds shall be expended in furtherance of managed care 3
contract rates grea ter than the lower bound actuarial soundness 4
rate. 5

PART 3

Section 14.3005. To the Department of Elementary and Secondary 1
Education 2
In reference to all sections in Part 1 of this act to said department: 3
The Department shall provide written notification prior to 4
submission to the federal government of state plans and state plan 5
amendments, and quarterly financial reports, to the House Budget 6
and Senate Appropriation Committee Chairs. The Department 7
shall include in the notification the actual documents submitted 8
to the federal government, as we ll as the federal government’s 9
responses when received. 10

Section 14.3010. To the Department of Elementary and Secondary 1
Education 2
In reference to all sections in Part 1 of this act to said department: 3
The Department shall provide notification and correspondence 4
from the federal government of non-compliance with federal 5
programs or grants to the House Budget and Senate 6
Appropriation Committee Chairs. 7

Section 14.3015. To the Department of Elementary and Secondary 1
Education 2
In reference to all sections in Part 1 of this act to said department: 3
The Department shall provide wr itten notification of spend plans 4
and spend plan amendments to the House Budget and Senate 5
Appropriation Committee Chairs prior to submission to the 6
federal government and prior to expenditure of such funds. 7

Section 14.3020. To the Department of Mental Health 1
In reference to Sections 14.235 through and including 14.300 in 2
of Part 1 of this act: 3
The Department shall provide monthly reports to the House 4
Budget and Senate Appropriatio ns Committee Chairs for each 5
DMH Medicaid waiver, large service type by waiver, and 6
SS SCS HCS HB 2014 36

targeted case management costs: 1) The actual federal and state 7
share expenditures by appropriation and fund, number of waiver 8
slots assigned, average cost per slot, estimated current fiscal year 9
costs, estimated full fiscal year costs; 2) The actual federal and 10
state share expenditures by a ppropriation and fund, number of 11
new waiver slots assigned in FY 2026, average cost per slot, 12
estimated current fiscal year co sts, estimated full fiscal year 13
costs; and 3) The number of i ndividuals presenting for service 14
that have not been assigned a waiver slot, estimated current fiscal 15
year federal and state share costs if they were to be assigned, 16
estimated full fiscal year costs if they were to be assigned. 17

Section 14.3025. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
In reference to all sections in Part 1 of this act to said department: 3
The Departments shall provide written notification and 4
correspondence from the federal government of non-compliance 5
with federal programs or grants to the House Budget and Senate 6
Appropriation Committee Chairs. 7

Section 14.3030. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
In reference to all sections in Part 1 of this act to said department: 3
The Departments shall provide written documentation on rate 4
setting reports, rate studies, time surveys, time studies, and 5
random moment time studies; a nd the federal and state share 6
fiscal impact estimates, to the House Budget and Senate 7
Appropriation Committee Chairs. 8

Section 14.3035. To the Department of Mental Health and the 1
Department of Health and Senior Services 2
In reference to all sections in Part 1 of this act to said department: 3
The Department shall provide c opies of financial reports, 4
maintenance of effort reports , and public assistance cost 5
allocation plans submitted to the federal government and 6
supporting cash on hand reports, by grant, to the House Budget 7
and Senate Appropriation Committee Chairs. 8

SS SCS HCS HB 2014 37

Section 14.3040. To the Department of Social Services 1
In reference to Section 14.390 of Part 1 and Part 2 of this act: 2
Contract changes shall be provided in writing, prior to 3
submission to the Centers for Me dicare and Medicaid Services, 4
to the House Budget and Senate Appropriation Committee 5
Chairs. 6

Section 14.3045. To the Department of Social Services 1
In reference to all sections in Part 1 of this act to said department: 2
The Department shall provide written notification, prior to 3
submission to the federal governme nt, of state plans and state 4
plan amendments, grant applications, and Medicaid waivers to 5
the House Budget and Senate Appr opriation Committee Chairs. 6
The Department shall include in the notification the actual 7
documents submitted to the federal government, as well as the 8
federal government’s responses when received. 9

Section 14.3050. To the Department of Social Services 1
In reference to all sections in Part 1 of this act to said department: 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. 8

Section 14.3055. To the Department of Social Services 1
In reference to all sections in Part 1 of this act to said department: 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. 6

Section 14.3060. To the Department of Social Services 1
In reference to all sections in Part 1 of this act to said department: 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 Appropriation Committee Chairs. 6
SS SCS HCS HB 2014 38
Section 14.3065. To the Department of Social Services 1
In refe
rence to all sections in Part 1 of this act to said department: 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 Appropriation Committee Chairs on a 6
monthly basis. 7
Bill Totals
General Revenue Fund (10.00 F.T.E.)
...................................................................$516,821,860
Federal Funds (1.60 F.T.E) ...................................................................................1,870,192,774
Other Funds (1,148.44 F.T.E) ............................................................................... 670,296,305
Total (1,160.04 F.T.E.) .......................................................................................$3,057,310,939
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