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

SECOND REGULAR SESSION
SENATE BILL NO. 1759
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR HOUGH.
7439S.01I KRISTINA MARTIN, Secretary
1 AN ACT
2 To appropriate money for the expenses, grants, refunds, and distributions of the Department
3 of Mental Health, the Department of Health and Senior Services, and the several
4 divisions and programs thereof, and the Missouri Health Facilities Review
5 Committee to be expended only as provided in Article IV, Section 28 of the
6 Constitution of Missouri, and to transfer money among certain funds for the period
7 beginning July 1, 2026, and ending June 30, 2027.
8
Be it enacted by the General Assembly of the state of Missouri, as follows:9
10
11 There is appropriated out of the State Treasury, to be expended only as provided in
12 Article IV, Section 28 of the Constitution of Missouri for the purpose of funding each
13 department, division, agency, fund transfer, and program described herein, for the item or
14 items stated, and for no other purpose whatsoever, chargeable to the fund designated for the
15 period beginning July 1, 2026, and ending June 30, 2027, as follows:
1
Section 10.005. To the Department of Mental Health2
For the Office of the Director, provided three percent (3%) flexibility is3
4 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $652,3335
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,7626
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 671,0957
8
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105,6989
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53,80510
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 159,50311
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $830,59812
1
Section 10.010. To the Department of Mental Health2
For the Office of the Director3
2 2
For paying overtime to state employees. Nonexempt state employees4
5 identified by Section 105.935, RSMo, will be paid first with any
6 remaining funds being used to pay overtime to any other state
7 employees
Personal Service8
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,401,5869
1
Section 10.015. To the Department of Mental Health2
For the Office of the Director3
For contracted staffing for: Fulton State Hospital, Northwest Missouri4
5 Psychiatric Rehabilitation Center, the Forensic Treatment
6 Center, Southeast Missouri Mental Health Center, the
7 Higginsville Habilitation Center, Northwest Community
8 Services, and Southeast Missouri Residential Services
Expense and Equipment9
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . $15,000,00010
1
Section 10.020. To the Department of Mental Health2
For the Office of the Director3
For program operations and support, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,518,9096
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305,7367
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,824,6458
9
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,317,82610
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 794,44111
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 2,112,26712
13
To procure and implement a multi-year, vendor-hosted,14
15 integrated commercial off the shelf electronic health record
16 system for use in all of the department's hospitals and facilities,
17 provided thirty percent (30%) is allowed between personal
18 service and expense and equipment
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 648,23319
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,490,05420
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,138,28721
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,075,19922
1
Section 10.025. To the Department of Mental Health2
3
For the Office of the Director3
For staff training, provided ten percent (10%) flexibility is allowed4
5 from personal service to expense and equipment and three
6 percent (3%) flexibility is allowed from this section to Section
7 10.575
Expense and Equipment8
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $659,1409
10
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231,67711
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290,48112
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 522,15813
14
For the Caring for Missourians' Mental Health Initiative15
Expense and Equipment16
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 551,70517
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,733,00318
1
Section 10.030. To the Department of Mental Health2
For the Office of the Director3
For Employee Support Resources4
For support services to DMH state operated facilities and office staff5
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $396,6366
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,269,6507
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . $1,666,2868
1
Section 10.035. To the Department of Mental Health2
For the Office of the Director3
For funding insurance, private pay, licensure fee, and/or Medicaid4
5 refunds by state facilities operated by the Department of Mental
6 Health
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $205,0007
8
For refunds, provided twenty-five percent (25%) flexibility is allowed9
10 between federal and other funds
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 500,00011
From Mental Health Interagency Payments Fund (1109). . . . . . . . . . . . . . . . . . . . . . . . . . . 10012
From Mental Health Intergovernmental Transfer Fund (1147). . . . . . . . . . . . . . . . . . . . . . . 10013
From Compulsive Gamblers Fund (1249). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10014
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10015
From Mental Health Earnings Fund (1288).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,00016
From Habilitation Center Room and Board Fund (1435). . . . . . . . . . . . . . . . . . . . . . . . 10,00017
4
From Inmate Fund (1540). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10018
From Mental Health Trust Fund (1926).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,00019
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,00020
21
For the transfer payment of refunds set off against debts as required by22
23 Section 143.786, RSMo
From Debt Offset Escrow Fund (1753). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,00024
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $965,50025
1
Section 10.040. To the Department of Mental Health2
Funds are to be transferred out of the State Treasury to the3
4 Mental Health Trust Fund
From Abandoned Fund Account (1863). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150,0005
1
Section 10.045. To the Department of Mental Health2
For the Office of the Director3
For receipt and disbursement of donations and gifts which may become4
5 available to the Department of Mental Health during the year
6 (excluding federal grants and funds)
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $587,3477
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,925,0008
From Mental Health Trust Fund (1926).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,512,3479
1
Section 10.050. To the Department of Mental Health2
For the Office of the Director3
For receiving and expending grants, donations, contracts, and payments4
5 from private, federal, and other governmental agencies which
6 may become available between sessions of the General
7 Assembly provided the General Assembly shall be notified of
8 the source of any new funds and the purpose for which they
9 shall be expended, in writing, prior to the use of said funds
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $156,15710
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,462,39011
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . $2,618,54712
1
Section 10.055. To the Department of Mental Health2
For Medicaid payments related to intergovernmental payments3
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . $11,900,0004
From Mental Health Intergovernmental Transfer Fund (1147). . . . . . . . . . . . . . 6,600,0005
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18,500,0006
5
1
Section 10.060. To the Department of Mental Health2
Funds are to be transferred out of the State Treasury to the3
4 Department of Social Services Intergovernmental Transfer Fund
5 for providing the state match for the Department of Mental
6 Health payments
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $399,487,3687
1
Section 10.065. To the Department of Mental Health2
Funds are to be transferred out of the State Treasury to the3
4 General Revenue Fund to provide the state match for the
5 Department of Mental Health payments
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . $322,779,8966
1
Section 10.070. To the Department of Mental Health2
Funds are to be transferred out of the State Treasury to the3
4 General Revenue Fund for Disproportionate Share Hospital
5 funds leveraged by the Department of Mental Health -
6 Institution of Mental Disease facilities
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . $50,000,0007
1
Section 10.075. To the Department of Mental Health2
For the Office of the Director3
For grant funding for the Crisis Counseling Program to provide4
5 services related to presidential disaster declarations
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $123,4306
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,402,3747
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . $3,525,8048
1
Section 10.100. To the Department of Mental Health2
For the Division of Behavioral Health3
For the administration of statewide comprehensive psychiatric services4
5 and alcohol and drug abuse prevention and treatment programs,
6 provided three percent (3%) flexibility is allowed from this
7 section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,539,5248
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75,3889
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,614,91210
11
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,693,36012
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,885,78413
6
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 3,579,14414
15
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 389,14216
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27017
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 389,41218
19
Personal Service20
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65,68421
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,649,15222
1
Section 10.105. To the Department of Mental Health2
For the Division of Behavioral Health3
For prevention and education services, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.575
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . $16,529,7376
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,1487
From Mental Health Earnings Fund (1288).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475,0248
9
Personal Service10
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,96011
12
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,73013
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,372,95914
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,458,68915
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166,58617
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285,60718
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 452,19319
20
For enabling enforcement of the provisions of the Family Smoking21
22 Prevention and Tobacco Control Act of 2009, in collaboration
23 with the Department of Public Safety, Division of Alcohol and
24 Tobacco Control
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342,07725
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201,15926
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 543,23627
28
For statewide distribution of opioid antagonists approved by the Food29
30 and Drug Administration
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 8,000,00031
32
7
For suicide prevention initiatives33
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,04834
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 829,80635
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 853,85436
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28,431,84137
1
Section 10.110. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Opioid Settlement Administration4
For the reporting requirements pursuant to Section 196.1050, RSMo.5
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $79,7376
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,0007
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . $84,7378
9
1
Section 10.115. To the Department of Mental Health2
For the Division of Behavioral Health3
For Recovery Community Centers4
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,670,7405
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,681,7876
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . 1,200,0007
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,552,5278
9
1
Section 10.120. To the Department of Mental Health2
For the Division of Behavioral Health3
For Recovery Support Services4
Expense and Equipment5
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . $1,835,8796
7
For Recovery Support Services with the Access to Recovery Program8
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 2,598,0849
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,433,96310
1
Section 10.125. To the Department of Mental Health2
For the Division of Behavioral Health3
For Addiction Medicine Fellowships4
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . $1,000,0005
1
Section 10.130. To the Department of Mental Health2
For the Division of Behavioral Health3
8
For comprehensive psychiatric services, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,574,9466
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,540,7487
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,115,6948
9
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 494,47410
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,548,30711
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 5,042,78112
13
For adult psychiatric services, provided fifty percent (50%) flexibility14
15 is allowed between subsections indicated in Sections 10.130 and
16 10.160 to allow flexibility in payment for the Certified
17 Community Behavioral Health Clinic Prospective Payment
18 System, and further provided three percent (3%) flexibility is
19 allowed from this section to Section 10.575
Expense and Equipment20
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,449,40721
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 48,024,85422
From Title XXI Children's Health Insurance Program Federal Fund 23
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 849,31524
From Mental Health Interagency Payments Fund (1109). . . . . . . . . . . . . . . . . . . . . . 1,310,57225
From Missouri Crisis Services Fund (1344). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,357,56026
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,426,90327
28
For housing assistance for homeless veterans, provided three percent29
30 (3%) flexibility is allowed from this section to Section 10.575
Expense and Equipment31
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255,00032
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 1,000,00033
34
For Shelter Plus Care grants35
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 14,336,74636
37
For treatment of alcohol and drug abuse, provided three percent (3%)38
39 flexibility is allowed from this section to Section 10.575
Personal Service40
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 625,02141
42
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275,33843
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377,05844
9 9
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 652,39645
46
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279,25747
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,21348
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300,47049
50
Personal Service51
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141,57252
53
For treatment of alcohol and drug abuse, provided fifty percent (50%)54
55 flexibility is allowed between subsections indicated in Sections
56 10.130 and 10.160 to allow flexibility in payment for the
57 Certified Community Behavioral Health Clinic Prospective
58 Payment System, and further provided three percent (3%)
59 flexibility is allowed from this section to Section 10.575
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,662,07460
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 82,141,61161
From Title XXI Children's Health Insurance Program Federal Fund 62
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,174,00263
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,172,34764
65
For treatment of alcohol and drug abuse66
From Inmate Fund (1540). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,513,77967
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,084,02268
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 963,77569
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 6,040,31670
71
For treatment of compulsive gambling72
Expense and Equipment73
From Compulsive Gamblers Fund (1249). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153,60674
75
For the Substance Abuse Traffic Offender Program76
Expense and Equipment77
From Mental Health Earnings Fund (1288).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,495,35378
79
For Housing Liaisons to provide Missourians with disabilities80
81 assistance in securing housing and receiving supportive services
82 and to serve as liaison between tenants, housing providers, and
83 the department
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 2,500,00084
10 10
85
For an organization serving a city not in a county and the surrounding86
87 region to support prevention of opioid overdose
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 1,113,00088
89
For statewide distribution of opioid antagonists approved by the Food90
91 and Drug Administration, provided $100,000 be utilized for a
92 pilot project to distribute fentanyl test strips to community-
93 based organizations
Expense and Equipment94
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 5,100,00095
96
For youth psychiatric services, provided fifty percent (50%) flexibility97
98 is allowed between subsections indicated in Sections 10.130 and
99 10.160 to allow flexibility in payment for the Certified
100 Community Behavioral Health Clinic Prospective Payment
101 System, and further provided three percent (3%) flexibility is
102 allowed from this section to Section 10.575
Expense and Equipment103
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,895,742104
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 6,923,541105
From Mental Health Interagency Payments Fund (1109). . . . . . . . . . . . . . . . . . . . . . . 100,000106
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,406,879107
108
For the Division of Behavioral Health to implement the use of EEG-109
110 Guided Transcranial Magnetic Stimulation (e-TMS) equipment
111 for priority populations to include veterans, law enforcement
112 and first responders
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,117,297113
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 2,117,298114
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . 2,000,000115
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $294,562,933116
1
Section 10.135. To the Department of Mental Health2
For the Division of Behavioral Health3
For the MOConnect System4
For the maintenance and operation of the crisis module5
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $498,7506
7
For the maintenance and operation of the referral module8
11 11
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498,7509
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $997,50010
1
Section 10.140. To the Department of Mental Health2
For the Division of Behavioral Health3
For reimbursing attorneys, physicians, and counties for fees in4
5 involuntary civil commitment procedures, provided three
6 percent (3%) flexibility is allowed from this section to Section
7 10.575
Expense and Equipment8
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,797,4419
1
Section 10.145. To the Department of Mental Health2
For the Division of Behavioral Health3
For Forensic Mobile Teams to provide treatment to clients who are in4
5 county jails awaiting court-ordered evaluations pursuant to
6 Chapter 552 RSMo and those who have been court-ordered for
7 competency restoration services in a Division of Behavioral
8 Health (DBH) inpatient facility pursuant to Chapter 552 RSMo
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,669,2559
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405,33310
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,074,58811
1
Section 10.150. To the Department of Mental Health2
For engaging patients in care coordination (EPICC) 24/7 referral and3
4 linkage service for those residing in targeted regions, primarily
5 for individuals post overdose, but who also may present to
6 hospitals with issues relating to opioid, stimulant, and/or
7 alcohol use disorders to establish immediate connections to
8 recovery support services, and substance use treatment
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . $500,0009
1
Section 10.155. To the Department of Mental Health2
For the Division of Behavioral Health3
For prevention, treatment, and recovery programs at recovery high4
5 schools
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . $6,834,7836
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . 3,600,0007
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,434,7838
12
1
Section 10.160. To the Department of Mental Health2
For the Division of Behavioral Health3
For treatment of alcohol and drug abuse for payment of services to4
5 Certified Community Behavioral Health Organizations,
6 provided fifty percent (50%) flexibility is allowed between
7 subsections indicated in Sections 10.130 and 10.160 to allow
8 flexibility in payment for the Certified Community Behavioral
9 Health Clinic Prospective Payment System, and further
10 provided three percent (3%) flexibility is allowed from this
11 section to Section 10.575
Expense and Equipment12
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25,943,59213
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 26,483,07714
From Title XXI Children's Health Insurance Program Federal Fund 15
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316,12916
From Mental Health Reinvestment Fund (1352). . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,558,20017
18
For adult psychiatric services and community programs, provided fifty19
20 percent (50%) flexibility is allowed between subsections
21 indicated in Sections 10.130 and 10.160 to allow flexibility in
22 payment for the Certified Community Behavioral Health Clinic
23 Prospective Payment System, and further provided three percent
24 (3%) flexibility is allowed from this section to Section 10.575
Expense and Equipment25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199,113,63826
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . 294,882,04927
From Title XXI Children's Health Insurance Program Federal Fund 28
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,942,30429
From Missouri Crisis Services Fund (1344). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,500,00030
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . 189,79931
32
For youth psychiatric services and community programs provided fifty33
34 percent (50%) flexibility is allowed between subsections
35 indicated in Sections 10.130 and 10.160 to allow flexibility in
36 payment for the Certified Community Behavioral Health Clinic
37 Prospective Payment System, and further provided that
38 CPR/CCBHO services for youth shall not be capped and
39 Medicaid supplemental shall be requested when necessary, and
13
40 further provided three percent (3%) flexibility is allowed from
41 this section to Section 10.575
Expense and Equipment42
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,810,38243
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . 148,871,67844
From Title XXI Children's Health Insurance Program Federal Fund 45
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,811,75846
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $841,422,60647
1
Section 10.165. To the Department of Mental Health2
For the Division of Behavioral Health3
For a universal screening program used to identify maternal depression4
5 and related behavioral health disorders including anxiety,
6 substance use disorder and depression
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . $750,0007
1
Section 10.170. To the Department of Mental Health2
For the Division of Behavioral Health3
For 988 Crisis Response4
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . $3,140,1975
1
Section 10.175. To the Department of Mental Health2
For the Division of Behavioral Health3
For administrative expenses related to the 988 Crisis Response4
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $36,3955
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,0006
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . $41,3957
1
Section 10.180. To the Department of Mental Health2
For the Division of Behavioral Health3
To pay the state operated hospital provider tax4
Expense and Equipment5
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,010,0006
7
For funding expenses related to fluctuating census demands, Medicare8
9 bundling compliance, Medicare Part D implementation, and to
10 restore facilities personal service and/or expense and equipment
11 incurred for direct care worker training and other operational
12 maintenance expenses
Expense and Equipment13
14
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 4,438,90914
From Title XXI Children's Health Insurance Program Federal Fund 15
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400,18416
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,849,09317
18
1
Section 10.300. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Fulton State Hospital, provided fifteen percent (15%) may be4
5 spent on the Purchase of Community Services, including
6 transitioning clients to the community or other state-operated
7 facilities, and further provided ten percent (10%) flexibility is
8 allowed between Fulton State Hospital Sexual Offender
9 Rehabilitation and Treatment Services Program and Fulton
10 State Hospital, and further provided fifty percent (50%)
11 flexibility is allowed between personal service and expense and
12 equipment, and further provided fifteen percent (15%)
13 flexibility is allowed from this section to Sections 10.305,
14 10.310, 10.315, 10.320, and 10.325, and further provided three
15 percent (3%) flexibility is allowed from this section to Section
16 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $56,722,45517
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,092,27118
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69,814,72619
20
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 998,48221
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 618,89522
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 1,617,37723
24
For paying overtime to state employees. Nonexempt state employees25
26 identified by Section 105.935, RSMo, will be paid first with any
27 remaining funds being used to pay overtime to any other state
28 employees
Personal Service29
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 848,94530
31
For the Fulton State Hospital Sexual Offender Rehabilitation and32
33 Treatment Services Program, provided fifteen percent (15%)
34 may be spent on the Purchase of Community Services,
35 including transitioning clients to the community or other state-
15
36 operated facilities, and further provided ten percent (10%)
37 flexibility is allowed between Fulton State Hospital Sexual
38 Offender Rehabilitation and Treatment Services Program and
39 Fulton State Hospital, and further provided fifty percent (50%)
40 flexibility is allowed between personal service and expense and
41 equipment, and further provided fifteen percent (15%)
42 flexibility is allowed from this section to Sections 10.305,
43 10.310, 10.315, 10.320, and 10.325, and further provided three
44 percent (3%) flexibility is allowed from this section to Section
45 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,457,72446
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,769,61847
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,227,34248
49
For paying overtime to state employees. Nonexempt state employees50
51 identified by Section 105.935, RSMo, will be paid first with any
52 remaining funds being used to pay overtime to any other state
53 employees
Personal Service54
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79,69955
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $88,588,08956
1
Section 10.305. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Northwest Missouri Psychiatric Rehabilitation Center, provided4
5 fifteen percent (15%) may be spent on the Purchase of
6 Community Services, including transitioning clients to the
7 community or other state-operated facilities, and further
8 provided fifty percent (50%) flexibility is allowed between
9 personal service and expense and equipment, and further
10 provided five percent (5%) flexibility is allowed from this
11 section to Sections 10.300, 10.310, 10.315, 10.320, and 10.325,
12 and further provided three percent (3%) flexibility is allowed
13 from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,968,41514
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,776,70415
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,745,11916
17
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 828,99018
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105,90319
16
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 934,89320
21
For paying overtime to state employees. Nonexempt state employees22
23 identified by Section 105.935, RSMo, will be paid first with any
24 remaining funds being used to pay overtime to any other state
25 employees
Personal Service26
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221,11627
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 11,88028
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,913,00829
1
Section 10.310. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Forensic Treatment Center, provided fifteen percent (15%) may4
5 be spent on the Purchase of Community Services, including
6 transitioning clients to the community or other state-operated
7 facilities, and further provided fifty percent (50%) flexibility is
8 allowed between personal service and expense and equipment,
9 and further provided fifteen percent (15%) flexibility is allowed
10 from this section to Sections 10.300, 10.305, 10.315, 10.320,
11 and 10.325, and provided three percent (3%) flexibility is
12 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37,156,78313
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,137,71114
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,294,49415
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 903,77617
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,21018
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 996,98619
20
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339,34521
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866,04622
From Mental Health Earnings Fund (1288).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,205,39123
24
For paying overtime to state employees. Nonexempt state employees25
26 identified by Section 105.935, RSMo, will be paid first with any
27 remaining funds being used to pay overtime to any other state
28 employees
Personal Service29
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396,53230
17
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 2,19131
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49,895,59432
1
Section 10.315. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Southeast Missouri Mental Health Center, provided fifteen4
5 percent (15%) may be spent on the Purchase of Community
6 Services, including transitioning clients to the community or
7 other state-operated facilities, and provided ten percent (10%)
8 flexibility is allowed between Southeast Missouri Mental Health
9 Center and Southeast Missouri Mental Health Center-Sexual
10 Offender Rehabilitation and Treatment Services Program, and
11 further provided fifty percent (50%) flexibility is allowed
12 between personal service and expense and equipment, and
13 further provided fifteen percent (15%) flexibility is allowed
14 from this section to Sections 10.300, 10.305, 10.310, 10.320,
15 and 10.325, and provided three percent (3%) flexibility is
16 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26,748,14317
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,149,93318
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,898,07619
20
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307,47421
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219,53822
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 527,01223
24
Personal Service25
From Mental Health Trust Fund (1926).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97,87626
27
For paying overtime to state employees. Nonexempt state employees28
29 identified by Section 105.935, RSMo, will be paid first with any
30 remaining funds being used to pay overtime to any other state
31 employees
Personal Service32
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211,66733
34
For the Southeast Missouri Mental Health Center-Sexual Offender35
36 Rehabilitation and Treatment Services Program, provided
37 fifteen percent (15%) may be spent on the Purchase of
38 Community Services, including transitioning clients to the
18
39 community or other state-operated facilities, and further
40 provided ten percent (10%) flexibility is allowed between
41 Southeast Missouri Mental Health Center-Sexual Offender
42 Rehabilitation and Treatment Services Program and Southeast
43 Missouri Mental Health Center, and further provided fifty
44 percent (50%) flexibility is allowed between personal service
45 and expense and equipment, and further provided fifteen
46 percent (15%) flexibility is allowed from this section to
47 Sections 10.300, 10.305, 10.310, 10.320, and 10.325, and
48 further provided three percent (3%) flexibility is allowed from
49 this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,580,93850
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,425,21951
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,006,15752
53
Personal Service54
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . . 32,83955
56
For paying overtime to state employees. Nonexempt state employees57
58 identified by Section 105.935, RSMo, will be paid first with any
59 remaining funds being used to pay overtime to any other state
60 employees
Personal Service61
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110,10462
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $65,883,73163
1
Section 10.320. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Center for Behavioral Medicine, provided fifteen percent (15%)4
5 may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated facilities, and further provided fifty percent (50%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided five percent (5%) flexibility is
10 allowed from this section to Sections 10.300, 10.305, 10.310,
11 10.315, and 10.325, and provided three percent (3%) flexibility
12 is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18,281,99613
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,449,20414
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,731,20015
19
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254,49017
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 633,69718
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . . 888,18719
20
Expense and Equipment21
From Mental Health Earnings Fund (1288).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416,10022
23
For paying overtime to state employees. Nonexempt state employees24
25 identified by Section 105.935, RSMo, will be paid first with any
26 remaining funds being used to pay overtime to any other state
27 employees
Personal Service28
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319,75629
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $23,355,24330
1
Section 10.325. To the Department of Mental Health2
For the Division of Behavioral Health3
For the Hawthorn Children's Psychiatric Hospital, provided fifty4
5 percent (50%) flexibility is allowed between personal service
6 and expense and equipment, and further provided five percent
7 (5%) flexibility is allowed from this section to Section 10.300,
8 10.305, 10.310, 10.315, and 10.320, and provided three percent
9 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,405,93410
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,460,21611
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,866,15012
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,958,28714
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197,90115
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 2,156,18816
17
For paying overtime to state employees. Nonexempt state employees18
19 identified by Section 105.935, RSMo, will be paid first with any
20 remaining funds being used to pay overtime to any other state
21 employees
Personal Service22
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,86123
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 7,62924
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,115,82825
1
20
Section 10.400. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the division administration, provided three percent (3%) flexibility4
5 is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,883,1866
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,1457
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,935,3318
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495,7989
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 868,98010
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 1,364,77811
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,300,10912
1
Section 10.405. To the Department of Mental Health2
For the Division of Developmental Disabilities3
4 To pay the state operated Intermediate Care
5 Facilities for Individuals with Intellectual
6 Disabilities (ICF/ID) provider tax
Expense and Equipment7
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,902,0008
9
For habilitation centers10
Expense and Equipment11
From Habilitation Center Room and Board Fund (1435). . . . . . . . . . . . . . . . . . 3,417,03812
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,319,03813
1
Section 10.410. To the Department of Mental Health2
For the Division of Developmental Disabilities3
Provided residential services for non-Medicaid eligibles shall4
5 not be reduced below the prior year expenditures as long as the
6 person is evaluated to need the services, and further provided
7 seventy-five percent (75%) flexibility is allowed between
8 sections 10.410 and 10.415
For community programs, including long-term care transformation9
10 initiatives and efforts for reimbursement of providers based on
11 integration of key identified outcomes that produce value-based
12 care delivery models to improve quality and efficiency of the
13 total care delivered to individuals
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $981,126,29314
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 1,754,440,31515
21 21
From Title XXI Children's Health Insurance Program Federal Fund 16
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,180,26017
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,015,00018
19
For community programs, provided three percent (3%) flexibility is20
21 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,084,81722
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,67123
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,119,48824
25
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,174,38526
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179,28427
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 1,353,66928
29
For statewide autism outreach, education, and awareness programs for30
31 persons with autism and their families
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,131,59932
33
For an Autism Center located in a city with more than fifty-one34
35 thousand but fewer than fifty-eight thousand inhabitants and
36 located in more than one county
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,51137
38
For services for children who are clients of the Department of Social39
40 Services
From Mental Health Interagency Payments Fund (1109). . . . . . . . . . . . . . . . . . . . . 11,591,22341
42
For youth services43
From Mental Health Interagency Payments Fund (1109). . . . . . . . . . . . . . . . . . . . . . . 213,83244
45
For Senate Bill 40 Board Tax Funds to be used as match for46
47 Medicaid initiatives for clients of the division
From DMH Local Tax Matching Fund (1930). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,889,53848
49
For Autism Outreach Initiatives for Children in Northeast Missouri50
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,51151
52
For Regional Autism Projects53
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,017,13554
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,785,181,37455
22 22
1
Section 10.415. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For a designated provider (including a provider that operates in4
5 coordination with a team of health care professionals) or a
6 health team selected by an eligible individual with chronic
7 conditions to provide health home services, designed to
8 coordinate care for individuals with identified health risks and
9 chronic health conditions receiving DD HCBS services,
10 provided seventy-five percent (75%) flexibility is allowed
11 between sections 10.410 and 10.415, and further provided three
12 percent (3%) flexibility is allowed from this section to Section
13 10.575
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,282,63314
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 15,039,08915
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $23,321,72216
1
Section 10.420. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the reimbursement of hospitals related to individuals who qualify4
5 for placement and support through the Division of
6 Developmental Disabilities who may otherwise be eligible for
7 discharge but cannot be discharged due to a lack of availability
8 within an appropriate community placement. Such hospitals
9 shall provide a request for funding documenting these
10 individuals, length of stay beyond discharge, and effort to find
11 placement. The division shall on a pro-rata basis provide a per
12 diem reimbursement on an annual basis
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,000,00013
1
Section 10.425. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For community support staff, provided three percent (3%) flexibility is4
5 allowed from this section to Section 10.575
Personal Service6
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,490,9567
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 8,955,8298
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,446,7859
1
23
Section 10.430. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For developmental disabilities services, provided ten percent (10%)4
5 flexibility is allowed between personal service and expense and
6 equipment
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $560,6997
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,826,0698
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 2,386,7689
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,386,76810
1
Section 10.435. To the Department of Mental Health2
Funds are to be transferred out of the State Treasury, to the3
4 General Revenue Fund as a result of recovering the
5 Intermediate Care Facility Intellectually Disabled (ICF/ID)
6 Reimbursement Allowance Fund
From Intermediate Care Facility Intellectually Disabled Reimbursement 7
Allowance Fund (1901). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,447,1058
9
Funds are to be transferred out of the State Treasury, to Federal10
11 Funds
From Intermediate Care Facility Intellectually Disabled Reimbursement 12
Allowance Fund (1901). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,454,89613
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,902,00114
1
Section 10.500. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Central Missouri Regional Center, provided twenty-five (25%)4
5 flexibility is allowed between personal service and expense and
6 equipment, and further provided fifty percent (50%) flexibility
7 is allowed between sections 10.500, 10.505, 10.510, 10.515, and
8 10.520, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,641,32110
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145,91811
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,787,23912
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 723,01414
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111,06315
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 834,07716
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,621,31617
24
1
Section 10.505. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Kansas City Regional Center, provided twenty-five percent4
5 (25%) flexibility is allowed between personal service and
6 expense and equipment, and further provided fifty percent
7 (50%) flexibility is allowed between sections 10.500, 10.505,
8 10.510, 10.515, and 10.520, and further provided three percent
9 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,409,34610
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209,05611
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,618,40212
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,369,11914
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111,94515
16
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 1,481,06417
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,099,46618
1
Section 10.510. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Sikeston Regional Center, provided twenty-five percent (25%)4
5 flexibility is allowed between personal service and expense and
6 equipment, and further provided fifty percent (50%) flexibility
7 is allowed between sections 10.500, 10.505, 10.510, 10.515, and
8 10.520, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,423,34610
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106,66811
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,530,01412
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267,29814
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,73515
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 295,03316
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,825,04717
1
Section 10.515. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Springfield Regional Center, provided twenty-five percent4
5 (25%) flexibility is allowed between personal service and
6 expense and equipment, and further provided fifty percent
25
7 (50%) flexibility is allowed between sections 10.500, 10.505,
8 10.510, 10.515, and 10.520, and further provided three percent
9 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,918,87110
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137,06911
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,055,94012
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423,30114
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,50815
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 464,80916
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,520,74917
1
Section 10.520. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the St. Louis Regional Center, provided twenty-five percent (25%)4
5 flexibility is allowed between personal service and expense and
6 equipment, and further provided fifty percent (50%) flexibility
7 is allowed between sections 10.500, 10.505, 10.510, 10.515, and
8 10.520, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,710,91410
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328,62011
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,039,53412
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,190,14814
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246,27315
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 1,436,42116
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,475,95517
1
Section 10.525. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Bellefontaine Habilitation Center, provided fifteen percent4
5 (15%) may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated services, and further provided ten percent (10%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided fifteen percent (15%)
10 flexibility is allowed between sections 10.525, 10.530, 10.535,
11 10.540, 10.545, and 10.550, and further provided three percent
12 (3%) flexibility is allowed from this section to Section 10.575
26 26
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,534,79713
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406,39214
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,941,18915
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,126,35317
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 645,67318
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 12,772,02619
20
For paying overtime to state employees. Nonexempt state employees21
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
Personal Service25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,238,17526
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 13,09927
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24,964,48928
1
Section 10.530. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the Higginsville Habilitation Center, provided thirty percent (30%)4
5 may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated services, and further provided ten percent (10%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided fifteen percent (15%)
10 flexibility is allowed between sections 10.525, 10.530, 10.535,
11 10.540, 10.545, and 10.550, and further provided three percent
12 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,301,90613
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,75814
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,466,66415
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,571,45917
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366,74918
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 7,938,20819
20
For paying overtime to state employees. Nonexempt state employees21
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
27
Personal Service25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 551,42826
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 87,78927
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,044,08928
1
Section 10.535. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For Northwest Community Services, provided thirty percent (30%)4
5 may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated services, and further provided ten percent (10%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided fifteen percent (15%)
10 flexibility is allowed between sections 10.525, 10.530, 10.535,
11 10.540, 10.545, and 10.550, and further provided three percent
12 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,064,80813
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535,12414
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,599,93215
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,679,25417
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 618,73318
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . 15,297,98719
20
For paying overtime to state employees. Nonexempt state employees21
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
Personal Service25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 965,00426
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28,862,92327
1
Section 10.540. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For Southwest Community Services, provided fifteen percent (15%)4
5 may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated services, and further provided ten percent (10%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided fifteen percent (15%)
28
10 flexibility is allowed between sections 10.525, 10.530, 10.535,
11 10.540, 10.545, and 10.550, and further provided three percent
12 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,846,41213
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,40114
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,939,81315
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,866,06217
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360,05518
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 6,226,11719
20
For paying overtime to state employees. Nonexempt state employees21
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
Personal Service25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64,55126
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 247,08827
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,477,56928
1
Section 10.545. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For the St. Louis Developmental Disabilities Treatment Center,4
5 provided thirty percent (30%) may be spent on the Purchase of
6 Community Services, including transitioning clients to the
7 community or other state-operated services, and further
8 provided ten percent (10%) flexibility is allowed between
9 personal service and expense and equipment, and further
10 provided fifteen percent (15%) flexibility is allowed between
11 sections 10.525, 10.530, 10.535, 10.540, 10.545, and 10.550,
12 and further provided three percent (3%) flexibility is allowed
13 from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,584,75914
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,990,76115
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,575,52016
17
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,548,83418
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 718,82219
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 14,267,65620
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26,843,17621
29 29
22
1
Section 10.550. To the Department of Mental Health2
For the Division of Developmental Disabilities3
For Southeast Missouri Residential Services, provided thirty percent4
5 (30%) may be spent on the Purchase of Community Services,
6 including transitioning clients to the community or other state-
7 operated services, and further provided ten percent (10%)
8 flexibility is allowed between personal service and expense and
9 equipment, and further provided fifteen percent (15%)
10 flexibility is allowed between sections 10.525, 10.530, 10.535,
11 10.540, 10.545, and 10.550, and further provided three percent
12 (3%) flexibility is allowed from this section to Section 10.575
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,132,40413
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162,67014
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,295,07415
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,604,87217
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 633,38418
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . . . . . 6,238,25619
20
For paying overtime to state employees. Nonexempt state employees21
22 identified by Section 105.935, RSMo, will be paid first with any
23 remaining funds being used to pay overtime to any other state
24 employees
Personal Service25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261,61526
From Department of Mental Health Federal Fund (1148).. . . . . . . . . . . . . . . . . 91,02327
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,885,96828
1
Section 10.555. To the Department of Mental Health2
For the Division of Developmental Disabilities3
To be distributed to programs promoting basic scientific4
5 research, clinic patient research, and patient care for tuberous
6 sclerosis complex
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,0007
1
Section 10.575. To the Department of Mental Health2
30
Funds are to be transferred out of the State Treasury, for the3
4 payment of claims, premiums, and expenses as provided by
5 Section 105.711 through 105.726, RSMo, to the State Legal
6 Expense Fund
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17
1
Section 10.600. To the Department of Health and Senior Services2
For the Office of the Director3
For program operations and support, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $351,4656
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,3267
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366,7918
9
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 625,52210
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67,04811
From Department of Health and Senior Services Federal and Other 12
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 692,57013
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,059,36114
1
Section 10.605. To the Department of Health and Senior Services2
For the Division of Administration3
For program operations and support, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,015,8286
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384,0707
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,399,8988
9
For program operations and support10
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,629,35811
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,982,51012
From Department of Health and Senior Services Federal and Other 13
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,611,86814
15
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,20016
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199,90017
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . 553,10018
19
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,226,23820
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,027,13421
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . . 3,253,37222
31
23
Expense and Equipment24
From Nursing Facility Quality of Care Fund (1271). . . . . . . . . . . . . . . . . . . . . . . . . . . 330,00025
26
Expense and Equipment27
From Mammography Fund (1293).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,00028
29
Expense and Equipment30
From Department of Health and Senior Services Document Services 31
Fund (1646). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,57132
33
Expense and Equipment34
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,00035
36
Expense and Equipment37
From Putative Father Registry Fund (1780). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,00038
39
Expense and Equipment40
From Organ Donor Program Fund (1824). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,00041
42
Personal Service43
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . . . . . 32044
45
Expense and Equipment46
From Missouri Veterans Health and Care Fund (1606).. . . . . . . . . . . . . . . . . . . . . . . 1,020,52447
48
Expense and Equipment49
From Health Access Incentive Fund (1276). . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,00050
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,373,65351
1
Section 10.610. To the Department of Health and Senior Services2
Funds are to be transferred out of the State Treasury, to the3
4 Health Access Incentive Fund
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $916,4775
1
Section 10.615. To the Department of Health and Senior Services2
For the Division of Administration3
For the payment of refunds set off against debts in accordance with4
5 Section 143.786, RSMo
From Debt Offset Escrow Fund (1753). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50,0006
1
Section 10.620. To the Department of Health and Senior Services2
32
For the Division of Administration3
For refunds4
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50,0005
6
For refunds, provided fifty percent (50%) flexibility is allowed between7
8 federal and other funds
From Department of Health and Senior Services Federal and Other Fund 9
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,00010
From Nursing Facility Quality of Care Fund (1271). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,24011
From Health Access Incentive Fund (1276). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,00012
From Mammography Fund (1293).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,00013
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,00014
From Endowed Care Cemetery Audit Fund (1562).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,89915
From Professional and Practical Nursing Student Loan and Nurse Loan 16
Repayment Fund (1565).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,50017
From Missouri Veterans Health and Care Fund (1606).. . . . . . . . . . . . . . . . . . . . . . . . . 51,00018
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . . . 100,00019
From Department of Health and Senior Services Document Services 20
Fund (1646). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,00021
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,13322
From Criminal Record System Fund (1671). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33323
From Children’s Trust Fund (1694).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,49524
From Brain Injury Fund (1742). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10025
From Organ Donor Program Fund (1824). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2526
From Missouri State Coroners Training Fund (1846). . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,20027
From Childhood Lead Testing Fund (1899). . . . . . . . . . . . . . . . . . . . . . . . . . . . 27528
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $401,20029
1
Section 10.625. To the Department of Health and Senior Services2
For the Division of Administration3
For receiving and expending grants, donations, contracts, and payments4
5 from private, federal, and other governmental agencies which
6 may become available between sessions of the General
7 Assembly, provided the General Assembly shall be notified of
8 the source of any new funds and the purpose for which they
9 shall be expended, in writing, prior to the use of said funds
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $130,76510
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000,00111
From Department of Health and Senior Services Federal and Other 12
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,130,76613
33 33
14
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120,26415
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347,59616
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . 467,86017
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,598,62618
1
Section 10.630. To the Department of Health and Senior Services2
Funds are to be transferred out of the State Treasury, in3
4 accordance with Section 135.690, RSMo, to the General
5 Revenue Fund
From Medical Preceptor Fund (1260). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,0006
1
Section 10.650. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For cancer and chronic disease control, provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $240,92210
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 875,87211
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,116,79412
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 629,90914
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,075,64115
From Department of Health and Senior Services Federal and Other 16
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,705,55017
18
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153,17919
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131,88720
From Organ Donor Program Fund (1824). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285,06621
Expense and Equipment22
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,24123
24
For a grant program benefitting people living with amyotrophic lateral25
26 sclerosis (ALS) and providing case services, including respite
27 care, care coordination, and clinical support
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,00028
29
34
For Community Based Navigation Services for breast cancer screening30
31 and treatment provided by a statewide community based not-
32 for-profit with experience supporting low to moderate income
33 individuals who are either in need of preventative screening
34 services for breast cancer detection and/or treatment for breast
35 cancer
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,00036
37
For the Show Me Healthy Women program.38
Expense and Equipment39
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,00040
41
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473,89842
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,894,45343
From Department of Health and Senior Services Federal and Other 44
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,368,35145
46
Expense and Equipment47
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,00048
49
Expense and Equipment50
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . 32,54851
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,804,55052
1
Section 10.655. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For communicable disease control and prevention, provided twenty4
5 percent (20%) flexibility is allowed between sections 10.650,
6 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690,
7 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730,
8 and 10.735, and further provided three percent (3%) flexibility
9 is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,220,50110
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,658,45811
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,878,95912
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,575,66514
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,012,96115
From Department of Health and Senior Services Federal and Other 16
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,588,62617
18
35
Expense and Equipment19
From Title XXI Children's Health Insurance Program Federal Fund 20
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,340,87521
22
Expense and Equipment23
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121,78724
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,930,24725
1
Section 10.660. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For community health and wellness initiatives, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided seventeen percent (17%) flexibility
9 between personal service and expense and equipment within the
10 Health Initiatives Fund (1275) within this section, and further
11 provided three percent (3%) flexibility is allowed from this
12 section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $495,66113
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,00014
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 515,66115
16
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,030,40517
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,821,13618
From Department of Health and Senior Services Federal and Other 19
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,851,54120
21
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,63022
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,532,89723
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,546,52724
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168,85525
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,506,50026
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . . 2,675,35527
28
Expense and Equipment29
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . 216,30030
31
For the Adolescent Health Program32
Personal Service33
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,22834
36
35
Expense and Equipment36
From Department of Health and Senior Services Federal and Other 37
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,830,00038
39
Expense and Equipment40
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,22841
42
For statewide distribution of opioid antagonists approved by the Food43
44 and Drug Administration
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . 800,00045
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,457,84046
1
Section 10.665. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For tobacco cessation services, provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735
From Department of Health and Senior Services Federal and Other Fund 8
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100,0009
1
Section 10.670. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For Community and Public Health administration, provided twenty4
5 percent (20%) flexibility is allowed between sections 10.650,
6 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690,
7 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730,
8 and 10.735, and further provided three percent (3%) flexibility
9 is allowed from this section to Section 10.950
Personal Service10
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,827,32511
12
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,216,45013
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,474,64514
From Department of Health and Senior Services Federal and Other Fund 15
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,691,09516
17
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,00018
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140,00019
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . . . . . . 240,00020
37
21
Personal Service22
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,338,53623
24
Expense and Equipment25
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . 59,00026
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,155,95627
1
Section 10.675. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For emergency preparedness and response, provided $1,000,000 be4
5 used to assist in maintaining the Poison Control Hotline, and
6 further provided twenty percent (20%) flexibility is allowed
7 between sections 10.650, 10.655, 10.660, 10.665, 10.670,
8 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705, 10.710,
9 10.715, 10.720, 10.725, 10.730, and 10.735, and further
10 provided three percent (3%) flexibility is allowed from this
11 section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $298,42212
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,200,00013
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,498,42214
15
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,302,16916
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,635,70117
From Department of Health and Senior Services Federal and Other Fund 18
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,937,87019
20
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98,58921
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,47222
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . 123,06123
24
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88,04525
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,78526
From Environmental Radiation Monitoring Fund (1656). . . . . . . . . . . . . . . . . . . . . . . 111,83027
28
Expense and Equipment29
From Insurance Dedicated Fund (1566). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,00030
31
For outbreak response32
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . 300,00033
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,471,18334
38
1
Section 10.680. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For environmental public health provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,197,67410
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206,07511
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,403,74912
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,399,04714
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,101,27815
From Department of Health and Senior Services Federal and Other Fund 16
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,500,32517
18
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361,92019
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560,40020
From Child Care and Development Block Grant Federal Fund (1168).. . . . . . . . . . . . 922,32021
22
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467,43023
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73,98424
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . 541,41425
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264,62426
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66,88427
From Hazardous Waste Fund (1676).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331,50828
29
Expense and Equipment30
From Missouri Lead Abatement Loan Fund (1893). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20031
32
Expense and Equipment33
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179,98634
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,879,50235
1
Section 10.685. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For genetics and newborn health services, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
39
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $358,67110
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 696,32011
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,054,99112
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555,39814
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 686,58515
From Department of Health and Senior Services Federal and Other Fund 16
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,241,98317
18
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173,32319
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,700,06220
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . 1,873,38521
22
Expense and Equipment23
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,58524
25
For the SAFE-CARE Program, including implementing a regionalized26
27 medical response to child abuse, providing daily review of cases
28 of children less than four (4) years of age under investigation by
29 the Missouri Department of Social Services, Children's
30 Division, and to provide medical forensics training to medical
31 providers and multi-disciplinary team members
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,00032
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,430,94433
1
Section 10.690. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For health informatics and epidemiology, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.950
Personal Service10
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,329,57011
12
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,551,22813
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,399,20914
40
From Department of Health and Senior Services Federal and Other Fund 15
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,950,43716
17
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57,86518
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,67119
From Temporary Assistance for Needy Families Fund (1199). . . . . . . . . . . . . . . . . . . . 63,53620
21
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96,07722
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,04823
From Department of Health and Senior Services Document Services 24
Fund (1646). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,12525
26
Expense and Equipment27
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,57728
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,541,24529
1
Section 10.695. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For human immunodeficiency virus, sexually transmitted infection, and4
5 Hepatitis services, provided twenty percent (20%) flexibility is
6 allowed between sections 10.650, 10.655, 10.660, 10.665,
7 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700, 10.705,
8 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735, and further
9 provided three percent (3%) flexibility is allowed from this
10 section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $255,44111
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57,50012
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312,94113
14
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,582,41415
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,668,83416
From Department of Health and Senior Services Federal and Other Fund 17
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,251,24818
19
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166,78020
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319,97721
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . 486,75722
23
Expense and Equipment24
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,30925
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,615,11726
41
From Department of Health and Senior Services Federal and Other Fund 27
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,774,38628
29
For the Ryan White program, provided the eligible income requirement30
31 is at or below three hundred percent (300%) of the Federal
32 Poverty Level (FPL)
Personal Service33
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700,78234
35
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445,65936
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,16637
From Department of Health and Senior Services Federal and Other Fund 38
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 545,82539
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100,697,36540
1
Section 10.700. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For Local Public Health Agency support, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $291,81510
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,50011
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320,31512
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65,47214
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,14015
From Department of Health and Senior Services Federal and Other 16
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147,61217
18
Expense and Equipment19
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,57320
21
For core public health functions and related expenses22
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,372,39223
From Title XXI Children's Health Insurance Program Federal Fund 24
(1159).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,400,00025
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,254,89226
1
42
Section 10.705. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For supplemental nutrition programs, provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.950
Personal Service10
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,96011
12
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,628,87113
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203,146,45914
From Department of Health and Senior Services Federal and Other 15
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207,775,33016
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $207,783,29017
1
Section 10.710. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For rural health and primary care initiatives, including the Health4
5 Professional Loan Repayment Program (HPLRP), provided
6 twenty percent (20%) flexibility is allowed between sections
7 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685,
8 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725,
9 10.730, and 10.735, and further provided three percent (3%)
10 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $302,99811
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,00012
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,302,99813
14
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253,26715
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,285,78116
From Department of Health and Senior Services Federal and Other 17
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,539,04818
19
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126,92020
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,45021
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141,37022
23
Expense and Equipment24
From Health Access Incentive Fund (1276). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 650,00025
43
26
Expense and Equipment27
From Professional and Practical Nursing Student Loan and Nurse Loan 28
Repayment Fund (1565).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158,90029
30
Expense and Equipment31
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . . . . . 1,031,79032
33
For the development of graduate medical education programs,34
35 including but not limited to costs associated to creating and
36 maintaining a GME Technical Assistance Center, grants for
37 creation of new programs and expansion of existing programs in
38 facilities that take care of underserved and rural communities,
39 and grants for planning and other exploratory projects that
40 position a facility to sustain or increase graduate medical
41 education opportunities
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,501,12042
43
For graduate medical program grants for specialty areas which provide44
45 specific training for physicians to prevent, diagnose, and
46 manage substance use disorder/opioid use disorder, and for
47 associated costs to support technical assistance, new and
48 expanded GME programs, expansion of residency slots within
49 an existing program, and funding for planning or other
50 exploratory projects that position the state to increase graduate
51 medical education opportunities
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 5,000,00052
53
Funds are to be transferred out of the State Treasury to the State54
55 Board of Nursing Fund
From Professional and Practical Nursing Student Loan and Nurse Loan 56
Repayment Fund (1565).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,00057
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,425,22658
1
Section 10.715. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For oral health services and initiatives, provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735,
44
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.950
Personal Service10
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $99,21411
12
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591,92213
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 837,74014
From Department of Health and Senior Services Federal and Other 15
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,429,66216
17
Personal Service18
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,68719
20
Expense and Equipment21
From Department of Health Donated Fund (1658). . . . . . . . . . . . . . . . . . . . . . . . . . . . 655,00022
23
For the Elks Mobile Dental Clinic24
Expense and Equipment25
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,00026
27
For the Missouri Donated Dental Services Program28
Expense and Equipment29
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,00030
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,567,56331
1
Section 10.720. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For minority health initiatives, provided twenty percent (20%)4
5 flexibility is allowed between sections 10.650, 10.655, 10.660,
6 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695, 10.700,
7 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and 10.735,
8 and further provided three percent (3%) flexibility is allowed
9 from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $230,99710
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181,12111
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412,11812
13
Personal Service14
From Department of Health and Senior Services Federal and Other 15
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,12816
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $451,24617
45
1
Section 10.725. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For women's health and wellness programs and services, provided4
5 twenty percent (20%) flexibility is allowed between sections
6 10.650, 10.655, 10.660, 10.665, 10.670, 10.675, 10.680, 10.685,
7 10.690, 10.695, 10.700, 10.705, 10.710, 10.715, 10.720, 10.725,
8 10.730, and 10.735, and further provided three percent (3%)
9 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $166,35710
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,40011
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171,75712
13
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,089,60314
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,290,57515
From Department of Health and Senior Services Federal and Other 16
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,380,17817
18
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112,08819
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,563,58220
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 4,675,67021
22
Expense and Equipment23
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,91624
25
Expense and Equipment26
From Justice for Survivors Telehealth Network Fund (1228). . . . . . . . . . . . . . . . . . . . 100,00027
28
For a statewide telehealth network for forensic examinations of victims29
30 of sexual offenses
Expense and Equipment31
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,058,61232
33
For contracts for Sexual Violence Victims Services, Awareness, and34
35 Education Program
Expense and Equipment36
From Department of Health and Senior Services Federal and Other Fund 37
(1143).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,287,13438
39
For the development and implementation of initiatives to reduce40
41 maternal mortality, including maternal quality control protocols,
46
42 a perinatal health access collaborative, maternal care provider
43 trainings, postpartum plans of care best practices, and a state
44 maternal and child health dashboard
Expense and Equipment45
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,175,00046
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17,853,26747
1
Section 10.730. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For fetal infant mortality review services, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.950
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,000,00010
1
Section 10.735. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
For vital records certification and issuance, provided twenty percent4
5 (20%) flexibility is allowed between sections 10.650, 10.655,
6 10.660, 10.665, 10.670, 10.675, 10.680, 10.685, 10.690, 10.695,
7 10.700, 10.705, 10.710, 10.715, 10.720, 10.725, 10.730, and
8 10.735, and further provided three percent (3%) flexibility is
9 allowed from this section to Section 10.950
10
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,387,74411
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,72012
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,444,46413
14
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162,70915
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 787,75416
From Department of Health and Senior Services Federal and Other 17
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 950,46318
19
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130,69320
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,72421
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . . 156,41722
23
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110,95624
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,74825
47 47
From Putative Father Registry Fund (1780). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138,70426
27
Expense and Equipment28
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,37129
30
For the finalization of updates to the Department of Health and Senior31
32 Services Vital Records System, including necessary
33 infrastructure, security enhancements, and staff training
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . 1,763,00034
35
For coroner trainings provided by the Missouri Coroners' and Medical36
37 Examiners' Association
From Missouri State Coroners Training Fund (1846). . . . . . . . . . . . . . . . . . . . . 355,48238
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,819,90139
1
Section 10.740. To the Department of Health and Senior Services2
For the Division of Community and Public Health3
To address coronavirus preparedness and response, provided ten4
5 percent (10%) flexibility is allowed between American Rescue
6 Plan Act of 2021 grant programs in this section
Expense and Equipment7
From Department of Health and Senior Services Federal Stimulus 2021 8
Fund (2457). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $360,7839
10
To provide coronavirus mitigation efforts, including, but not11
12 limited to, testing, tracing, reporting, and related expenses,
13 provided ten percent (10%) flexibility is allowed between
14 American Rescue Plan Act of 2021 grant programs in this
15 section
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000,00016
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,472,38017
From Department of Health and Senior Services Federal Stimulus Fund 18
(2350).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73,472,38019
20
For Epidemiology Laboratory Capacity – Advanced Molecular21
22 Detection – Public Health Lab Preparedness, provided ten
23 percent (10%) flexibility is allowed between American Rescue
24 Plan Act of 2021 grant programs in this section
From Department of Health and Senior Services Federal Stimulus 2021 25
Fund (2457). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,634,96526
48
27
For Strengthening Healthcare Associated Infections and Antibiotic28
29 Resistance Program Capacity, provided ten percent (10%)
30 flexibility is allowed between American Rescue Plan Act of
31 2021 grant programs in this section
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,010,35932
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,685,80333
From Department of Health and Senior Services Federal Stimulus 2021 34
Fund (2457). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,696,16235
36
To provide COVID-19 mitigation and prevention efforts,37
38 including, but not limited to, testing, vaccinations, reporting,
39 and public health workforce enhancement, provided ten percent
40 (10%) flexibility is allowed between American Rescue Plan Act
41 of 2021 grant programs in this section
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,816,45242
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,433,35943
From Department of Health and Senior Services Federal Stimulus 2021 44
Fund (2457). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,249,81145
46
For the Disease Intervention Specialist Program to prevent the spread47
48 of COVID-19 and other infectious diseases among vulnerable
49 communities, provided ten percent (10%) flexibility is allowed
50 between American Rescue Plan Act of 2021 grant programs in
51 this section
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156,67352
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,697,40753
From Department of Health and Senior Services Federal Stimulus 2021 54
Fund (2457). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,854,08055
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $122,268,18156
1
Section 10.750. To the Department of Health and Senior Services2
For the State Public Health Laboratory,3
including providing newborn screening services on weekends4
5 and holidays, provided three percent (3%) flexibility is allowed
6 from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,577,6497
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,137,6838
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,715,3329
10
49
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,262,01011
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,298,26812
From Department of Health and Senior Services Federal and Other 13
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,560,27814
15
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,077,47916
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,494,33617
From Missouri Public Health Services Fund (1298). . . . . . . . . . . . . . . . . . . . . . . . . . 8,571,81518
19
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521,74420
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,968,13121
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . . 2,489,87522
23
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158,66624
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562,58625
From Safe Drinking Water Fund (1679). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 721,25226
27
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,05728
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239,45229
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . 295,50930
31
Expense and Equipment32
From Childhood Lead Testing Fund (1899). . . . . . . . . . . . . . . . . . . . . . . . . . . . 65,01733
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,419,07834
1
Section 10.800. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For program operations and support, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,379,2746
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,333,4907
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,712,7648
9
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,431,26610
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,621,32511
From Department of Health and Senior Services Federal and Other 12
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,052,59113
14
For Medicaid Home and Community-Based Services Program15
16 reassessments, provided three percent (3%) flexibility is
17 allowed from this section to Section 10.950
50
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 943,72418
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866,18619
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,809,91020
21
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 943,72322
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866,18623
From Department of Health and Senior Services Federal and Other 24
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,809,90925
26
Expense and Equipment27
From Health Initiatives Fund (1275). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,15028
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $38,416,32429
1
Section 10.805. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For non-Medicaid reimbursable senior and disability programs,4
5 provided three percent (3%) flexibility is allowed from this
6 section to Section 10.950
Expense and Equipment7
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $555,0058
From Department of Health and Senior Services Federal and Other 9
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,924,50010
11
For special health care needs programs, provided three percent (3%)12
13 flexibility is allowed from this section to Section 10.950
Expense and Equipment14
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,834,77815
From Department of Health and Senior Services Federal and Other 16
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,145,23817
From Brain Injury Fund (1742). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 974,90018
From Champ W Smith and Mary C Smith Memorial Endowment Trust 19
Fund (1873). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,00020
From Childrens Special Health Care Needs Service Fund (1950).. . . . . . . . . . . 5,00021
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,449,42122
1
Section 10.810. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For providing consumer directed personal care assistance services at a4
5 rate not to exceed sixty percent (60%) of the average monthly
6 Medicaid cost of nursing facility care, including payments to
7 providers for value-based payment initiatives, provided ten
51
8 percent (10%) flexibility is allowed between this section and
9 Section 10.815 to allow flexibility within the Medicaid Home
10 and Community-Based Services Program
Expense and Equipment11
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $256,841,61512
From Department of Health and Senior Services Federal and Other 13
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466,816,84714
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $723,658,46215
1
Section 10.815. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For respite care, homemaker chore, personal care, assistive technology,4
5 adult day care, AIDS, children's waiver services, home-
6 delivered meals, Programs of All Inclusive Care for the Elderly,
7 the Structured Family Caregiver Waiver, Brain Injury Waiver,
8 other related services, and program management under the
9 Medicaid fee-for-service and managed care programs, including
10 payments to providers for value-based payment initiatives,
11 provided that individuals eligible for or receiving nursing home
12 care must be given the opportunity to have those Medicaid
13 dollars follow them to the community to the extent necessary to
14 meet their unmet needs as determined by 19 CSR 30 81.030 and
15 further be allowed to choose the personal care program option,
16 including the option of assistive technology, in the community
17 that best meets the individuals' unmet needs, provided ten
18 percent (10%) flexibility is allowed between this section and
19 Section 10.810 to allow flexibility within the Medicaid Home
20 and Community Based Services Program, and further provided
21 that individuals eligible for the Medicaid Personal Care Option
22 must be allowed to choose, from among all the program
23 options, that option which best meets their unmet needs as
24 determined by 19 CSR 30 81.030; and also be allowed to have
25 their Medicaid funds follow them to the extent necessary to
26 meet their unmet needs whichever option they choose. This
27 language does not create any entitlements not established by
28 statute
Expense and Equipment29
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $251,050,74430
From Department of Health and Senior Services Federal and Other 31
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 459,049,98632
52
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $710,100,73033
1
Section 10.820. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
Funds are to be transferred out of the State Treasury to the4
5 Senior Services Growth and Development Program Fund
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,494,7466
1
Section 10.825. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For Home and Community Services grants to be distributed to the4
5 Agencies on Aging, provided ten percent (10%) flexibility is
6 allowed between these services and meal services, and further
7 provided three percent (3%) flexibility is allowed from this
8 section to Section 10.950
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,074,7049
From Department of Health and Senior Services Federal and Other 10
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,244,64111
12
For distributions to the Area Agencies on Aging, in accordance with13
14 Section 192.385, RSMo, which requires the deposit of a portion
15 of the premium tax collected under Sections 148.320 and
16 148.370, RSMo, to the Senior Services Growth and
17 Development Program Fund
From Senior Services Growth and Development Program Fund (1419).. . . . . . . . . 19,530,62118
19
For meals to be distributed to each Area Agency on Aging, provided20
21 that at least $500,000 of general revenue be used for non-
22 Medicaid meals to be distributed to each Area Agency on Aging
23 in proportion to the actual number of meals served during the
24 preceding fiscal year, provided ten percent (10%) flexibility is
25 allowed between these services and grant services, and further
26 provided three percent (3%) flexibility is allowed from this
27 section to Section 10.950
Expense and Equipment28
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,731,01629
From Department of Health and Senior Services Federal and Other 30
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,955,35931
From Elderly Home Delivered Meals Trust Fund (1296). . . . . . . . . . . . . . . . . . . . . . . . 62,95832
33
53
For the Ombudsman Program operated by the Area Agencies on Aging34
35 or their service providers
Expense and Equipment36
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,00037
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75,749,29938
1
Section 10.830. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For a statewide caregiver training, education, support, and coaching4
5 program to reduce the number of persons, including persons
6 with Alzheimer's disease, prematurely or unnecessarily
7 institutionalized and decrease caregiver burnout, including
8 support of assistive technology and devices for monitoring the
9 care of the recipient, provided three percent (3%) flexibility is
10 allowed from this section to Section 10.950
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200,00011
1
Section 10.835. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For senior independent living programs that support seniors aging in4
5 place in communities with a high concentration of older adults,
6 provided three percent (3%) flexibility is allowed from this
7 section to Section 10.950
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,0008
1
Section 10.840. To the Department of Health and Senior Services2
For the Division of Senior and Disability Services3
For providing naturalization assistance to refugees and/or legal4
5 immigrants who: have resided in Missouri more than five years,
6 are unable to benefit or attend classroom instruction, and who
7 require special assistance to successfully attain the requirements
8 to become a citizen. Services may include direct tutoring,
9 assistance with identifying and completing appropriate waiver
10 requests to the Immigration and Customs Enforcement agency,
11 and facilitating proper documentation. The department shall
12 award a contract under this section to a qualified not-for-profit
13 organization which can demonstrate its ability to work with this
14 population. A report shall be compiled for the General
15 Assembly evaluating the program’s effectiveness in helping
54
16 senior refugees and immigrants in establishing citizenship and
17 their ability to qualify individuals for Medicare
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,00018
1
Section 10.900. To the Department of Health and Senior Services2
For the Division of Regulation and Licensure3
For program operations and support, provided three percent (3%)4
5 flexibility is allowed from this section to Section 10.950
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,646,2716
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,167,7077
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,813,9788
9
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,989,03210
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,423,81111
From Department of Health and Senior Services Federal and Other 12
Fund (1143). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,412,84313
14
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,422,53115
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286,58916
From Nursing Facility Quality of Care Fund (1271). . . . . . . . . . . . . . . . . . . . . . . . . . 1,709,12017
18
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87,49719
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,12120
From Mammography Fund (1293).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,61821
22
For nursing home quality initiatives23
Expense and Equipment24
From Nursing Facility Reimbursement Allowance Fund (1196).. . . . . . . . . . . . . . . . . 725,00025
26
For the Bureau of Narcotics and Dangerous Drugs operations and27
28 support
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,92029
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,11530
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,03531
32
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,58033
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,19234
From Health Access Incentive Fund (1276). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111,77235
36
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303,47237
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,700,00038
55
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . 2,003,47239
40
For activities and equipment that further promote Cardiac Emergency41
42 Plan preparedness, but not limited to the purchase of AEDs and
43 AED maintenance, the purchase of CPR training kits or CPR
44 training of faculty and staff, basic first aid training and
45 educational materials
From Budget Stabilization Fund (1522). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,000,00046
47
For the Bureau of Narcotics and Dangerous Drugs for a Physician48
49 Prescription Monitoring Program
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170,48850
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69,11651
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239,60452
53
Personal Service54
From Opioid Addiction Treatment and Recovery Fund (1705).. . . . . . . . . . . . . . . . . . 120,12855
56
For expending Civil Monetary Penalty funding on federally approved57
58 nursing facility activities and projects
Expense and Equipment59
From Nursing Facility Quality of Care Fund (1271). . . . . . . . . . . . . . . . . . . . . . . . . . 7,649,45960
61
For the Time Critical Diagnosis Unit62
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 464,20363
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356,85764
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 821,06065
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45,727,08966
1
Section 10.905. To the Department of Health and Senior Services2
For the Division of Regulation and Licensure3
The Quality Improvement Program for Missouri (QIPMO) to4
5 provide technical assistance to nursing homes, provided three
6 percent (3%) flexibility is allowed from this section to Section
7 10.950
From Nursing Facility Reimbursement Allowance Fund (1196).. . . . . . . . . . . . . . . $1,209,9268
1
Section 10.910. To the Department of Health and Senior Services2
For the Division of Cannabis Regulation3
56
For medical marijuana program operations and support, provided ten4
5 percent (10%) flexibility is allowed between personal service
6 and expense and equipment
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,881,1157
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,167,4588
From Missouri Veterans Health and Care Fund (1606).. . . . . . . . . . . . . . . . . . . . . . . 5,048,5739
10
For adult use cannabis program operations and support, provided ten11
12 percent (10%) flexibility is allowed between personal service
13 and expense and equipment
Personal Service.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,171,82314
Expense and Equipment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,568,74015
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . 14,740,56316
17
For grants to agencies and not-for-profit organizations, whether18
19 government or community-based, to increase access to evidence
20 based low-barrier drug addiction treatment, prioritizing
21 medically proven treatment and overdose prevention and
22 reversal methods and public or private treatment options with an
23 emphasis on reintegrating recipients into their local
24 communities; to support overdose prevention education; and to
25 support job placement, housing, and counseling for those with
26 substance use disorders. When evaluating grant applications,
27 agencies and organizations serving populations with the highest
28 rates of drug related overdose shall be prioritized to receive the
29 grants
From Health Reinvestment Fund (1640). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,870,00030
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $23,659,13631
1
Section 10.915. To the Department of Health and Senior Services2
For a grant to the Department of Mental Health3
Funds are to be transferred out of the State Treasury for4
5 substance abuse disorder treatment and education programs as
6 provided by Article XIV, Section 2 of the Missouri
7 Constitution, to the Mental Health Reinvestment Fund, provided
8 the state treasurer shall invest monies in the fund in the same
9 manner as other funds are invested, and any interest and monies
10 earned on such investments shall be deposited to the credit of
11 the Mental Health Reinvestment Fund, and further provided that
12 any monies remaining in the Mental Health Reinvestment Fund
57
13 at the end of the biennium shall not revert to the credit of the
14 General Revenue Fund
From Health Reinvestment Fund (1640). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22,208,59615
1
Section 10.920. To the Department of Health and Senior Services2
For a grant to the Department of Corrections3
Funds are to be transferred out of the State Treasury for4
5 substance abuse disorder treatment and education programs as
6 provided by Article XIV, Section 2 of the Missouri
7 Constitution, to the Corrections Reinvestment Fund, provided
8 the state treasurer shall invest monies in the fund in the same
9 manner as other funds are invested, and any interest and monies
10 earned on such investments shall be deposited to the credit of
11 the Corrections Reinvestment Fund, and further provided that
12 any monies remaining in the Corrections Reinvestment Fund at
13 the end of the biennium shall not revert to the credit of the
14 General Revenue Fund
From Health Reinvestment Fund (1640). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,803,92915
1
Section 10.925. To the Department of Health and Senior Services2
Funds are to be transferred out of the State Treasury for health3
4 and care services for military veterans as provided by Article
5 XIV, Section 1 of the Missouri Constitution, to the Missouri
6 Veterans' Homes Fund, and further provided that any monies
7 remaining in the fund at the end of a biennium shall not revert
8 to the credit of the General Revenue Fund
From Missouri Veterans Health and Care Fund (1606).. . . . . . . . . . . . . . . . . . . . . $13,000,0009
1
Section 10.930. To the Department of Health and Senior Services2
Funds are to be transferred out of the State Treasury for3
4 substance abuse disorder treatment and education programs as
5 provided by Article XIV, Section 2 of the Missouri
6 Constitution, to the Health Reinvestment Fund, provided the
7 state treasurer shall invest monies in the fund in the same
8 manner as other funds are invested, and any interest and monies
9 earned on such investments shall be deposited to the credit of
10 the Health Reinvestment Fund, and further provided that any
11 monies remaining in the Health Reinvestment Fund at the end
12 of the biennium shall not revert to the credit of the General
13 Revenue Fund
58
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . $40,018,27614
Funds are to be transferred out of the State Treasury for public15
16 defenders as provided by Article XIV, Section 2 of the Missouri
17 Constitution, to the Public Defender Reinvestment Fund,
18 provided the state treasurer shall invest monies in the fund in
19 the same manner as other funds are invested, and any interest
20 and monies earned on such investments shall be deposited to the
21 credit of the Public Defender Reinvestment Fund, and further
22 provided that any monies remaining in the Public Defender
23 Reinvestment Fund at the end of the biennium shall not revert to
24 the credit of the General Revenue Fund
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . . . . 51,700,26025
26
Funds are to be transferred out of the State Treasury for health27
28 and care services for military veterans as provided by Article
29 XIV, Section 2 of the Missouri Constitution, to the Missouri
30 Veterans' Homes Fund, provided the state treasurer shall invest
31 monies in the fund in the same manner as other funds are
32 invested, and any interest and monies earned on such
33 investments shall be deposited to the credit of the Missouri
34 Veterans’ Homes Fund, and further provided that any monies
35 remaining in the Missouri Veterans’ Homes Fund at the end of
36 the biennium shall not revert to the credit of the General
37 Revenue Fund
From Veterans Health and Community Reinvestment Fund (1608). . . . . . . . . . 40,018,27638
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $131,736,81239
1
Section 10.950. To the Department of Health and Senior Services2
Funds are to be transferred out of the State Treasury for the3
4 payment of claims, premiums, and expenses as provided by
5 Section 105.711 through 105.726, RSMo, to the State Legal
6 Expense Fund
From General Revenue Fund (1101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17
8 ü