FIRST REGULAR SESSION [TRULY AGREED TO AND FINALLY PASSED] CONFERENCE COMMITTEE SUBSTITUTE FOR SENATE COMMITTEE SUBSTITUTE FOR HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 11 102ND GENERAL ASSEMBLY 0011H.05T 2023

AN ACT To appropriate money for the expenses, grants, refunds, and distributions of the Department of Social Services and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer money among certain funds for the period beginning July 1, 2023, and ending June 30, 2024.

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

There is appropriated out of the State Treasury, to be expended only as provided in 2 Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each 3 department, division, agency, fund transfer, and program described herein for the item or items 4 stated, and for no other purpose whatsoever, chargeable to the fund designated, for the period 5 beginning July 1, 2023, and ending June 30, 2024, as follows:

PART 1

Section 11.000. Each appropriation in this act shall consist of the item or 2 items in each section of Part 1 of this act, for the amount and 3 purpose and from the fund designated in each section of Part 1, as 4 well as all additional clarifications of purpose in Part 2 of this act 5 that make reference by section to said item or items in Part 1. Any 6 clarification of purpose in Part 2 shall state the section or sections 7 in Part 1 to which it attaches and shall, together with the language 8 of said section(s) in Part 1, form the complete statement of purpose 9 of the appropriation. As such, the provisions of Part 2 of this act CCS SCS HCS HB 11 2

10 shall not be severed from Part 1, and if any clarification of purpose 11 in Part 2 is for any reason held to be invalid, such decision shall 12 invalidate all of the appropriations in this act of which said 13 clarification of purpose is a part. Part 3 of this act shall consist of 14 guidance to the Department of Social Services in implementing the 15 appropriations found in Part 1 and Part 2 of this act. An 16 appropriation may be comprised in whole or in part of a one-time 17 amount, and such one-time amount shall be construed to be a 18 component part of, and not in addition to, the stated appropriation 19 amount. Any amount of an appropriation identified as “one-time” 20 in this act shall not be considered an addition to any ongoing core 21 appropriation(s) in future fiscal periods beyond June 30, 2024. 22 Any amount identified as one-time may, however, be requested in 23 any future fiscal period as a new decision item.

Section 11.005. To the Department of Social Services 2 For the Office of the Director 3 For the Director's Office, provided three percent (3%) flexibility is 4 allowed from this section to Section 11.950 5 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $120,401 6 Annual salary adjustment in accordance with Section 105.005, 7 RSMo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,745 8 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,601 9 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178,747

10 Personal Service 11 From Child Care and Development Block Grant Federal Fund (0168). . . . . . . . . . . . . . . . . . . 399

12 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171,495 13 Annual salary adjustment in accordance with Section 105.005, 14 RSMo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,242 15 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,197 16 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . . . . . . . 175,934

17 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,597 18 Annual salary adjustment in accordance with Section 105.005, 19 RSMo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,614 CCS SCS HCS HB 11 3

20 From Child Support Enforcement Fund (0169). . . . . . . . . . . . . . . . . . . . . . . . . . . 37,211 21 Total (Not to exceed 2.93 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $392,291

Section 11.010. To the Department of Social Services 2 For the Office of the Director 3 For the Director’s Office, Children’s Division Residential Program Unit 4 For administrative expenses 5 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,211,722 6 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150, 882 7 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,362,604

8 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493,581 9 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,519 10 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . 509,100 11 Total (Not to exceed 32.00 F.T.E.) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,871,704

Section 11.015. To the Department of Social Services 2 For the Office of the Director 3 For receiving and expending grants, donations, contracts, and payments 4 from private, federal, and other governmental agencies which may 5 become available between sessions of the General Assembly 6 provided that the General Assembly shall be notified of the source 7 of any new funds and the purpose for which they shall be 8 expended, in writing, prior to the use of said funds 9 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . . . . . $2,000,000 10 From Family Services Donations Fund (0167). . . . . . . . . . . . . . . . . . . . . . . . . . . 33,999 11 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,033,999

Section 11.017. To the Department of Social Services 2 Funds are to be transferred out of the State Treasury to the OA 3 Information Technology Federal Fund 4 From Child Care and Development Block Grant Federal Fund (0168). . . . . . . . . . . . . $1,616,328 5 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . 19,344,000 6 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,960,328 CCS SCS HCS HB 11 4

Section 11.020. To the Department of Social Services 2 For the Office of the Director 3 For the Human Resources Center, provided three percent (3%) flexibility 4 is allowed from this section to Section 11.950 5 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $329,629 6 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,062 7 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340,691

8 Personal Service 9 From Temporary Assistance for Needy Families Federal Fund (0199). . . . . . . . . . . . . . . . 25,773

10 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218,069 11 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,831 12 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . 247,900 13 Total (Not to exceed 10.50 F.T.E.) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $614,364

Section 11.025. To the Department of Social Services 2 For the Office of the Director 3 For the State Technical Assistance Team (STAT) 4 For the prevention and investigation of child abuse, child neglect, child 5 sexual abuse, child exploitation/pornography or child fatality 6 cases, as described in Sections 660.520 to 660.528, RSMo, and for 7 administrative expenses, provided five percent (5%) flexibility is 8 allowed between personal service and expense and equipment; and 9 further provided three percent (3%) flexibility is allowed from this 10 section to Section 11.950 11 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,562,271 12 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223,512 13 From General Revenue Fund (0101) (Not to exceed 27.50 F.T.E.). . . . . . . . . . . . . . . $1,785,783

Section 11.030. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit, provided five 4 percent (5%) flexibility is allowed between personal service and 5 expense and equipment, and further provided three percent (3%) 6 flexibility is allowed from this section to Section 11.950 7 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,815,973 CCS SCS HCS HB 11 5

8 Expense and Equipment (including $49,105 one-time).. . . . . . . . . . . . . . . 449,136 9 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,265,109

10 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,255,367 11 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 930,806 12 From Department of Social Services Federal Fund (0610) (including 13 $30,338 one-time). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,186,173

14 Expense and Equipment 15 From Recovery Audit and Compliance Fund (0974). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,087

16 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328,460 17 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141,946 18 From Medicaid Provider Enrollment Fund (0990). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 470,406

19 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,582 20 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,095 21 From FMAP Enhancement - Expansion Fund (2466). . . . . . . . . . . . . . . . . . . . . . 17,677 22 Total (Not to exceed 90.05 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,021,452

Section 11.035. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit 4 For a case management, provider enrollment, and fraud abuse and 5 detection system, provided three percent (3%) flexibility is 6 allowed from this section to Section 11.950 7 Expense and Equipment 8 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,117,552 9 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . 5,882,448 10 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,000,000

Section 11.037. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit 4 For the design, development, implementation, and maintenance and 5 operation costs for a Medicaid provider enrollment system 6 Expense and Equipment CCS SCS HCS HB 11 6

7 From General Revenue Fund (0101) (one-time). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,650,000 8 From Department of Social Services Federal Fund (0610) (one-time). . . . . . . . . . 23,850,000 9 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26,500,000

Section 11.040. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit 4 For recovery audit services 5 Expense and Equipment 6 From Recovery Audit and Compliance Fund (0974). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200,000

Section 11.045. To the Department of Social Services 2 For the Division of Finance and Administrative Services, provided three 3 percent (3%) flexibility is allowed from this section to Section 4 11.950 5 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,340,237 6 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 382,475 7 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,722,712

8 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,397,737 9 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251,218 10 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . . . . . . 1,648,955

11 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,084 12 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317 13 From Department of Social Services Administrative Trust Fund (0545). . . . . . . . . . . . . . . . . 5,401

14 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59,423 15 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750 16 From Child Support Enforcement Fund (0169). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,173

17 For the centralized inventory system, for reimbursable goods and services 18 provided by the department, and for related equipment 19 replacement and maintenance expenses 20 From Department of Social Services Administrative Trust Fund (0545). . . . . . . . . 1,200,000 21 Total (Not to exceed 55.02 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,637,241 CCS SCS HCS HB 11 7

Section 11.050. To the Department of Social Services 2 For the Division of Finance and Administrative Services 3 For the Child Welfare Eligibility Unit 4 For administrative expenses, provided five percent (5%) flexibility is 5 allowed between personal service and expense and equipment 6 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $788,943 7 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,287 8 From General Revenue Fund (0101). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 810,230

9 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681,427 10 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,964 11 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . 700,391 12 Total (Not to exceed 35.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,510,621

Section 11.055. To the Department of Social Services 2 For the Division of Finance and Administrative Services 3 For the payment of fees to contractors who engage in revenue 4 maximization projects on behalf of the Department of Social 5 Services and the General Assembly 6 From Department of Social Services Federal Fund (0610). . . . . . . . . . . . . . . . . . . . . . $2,750,000 7 From Temporary Assistance for Needy Families Federal Fund (0199). . . . . . . . . 250,000 8 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,000,000

Section 11.060. To the Department of Social Services 2 For the Division of Finance and Administrative Services 3 For the receipt and disbursement of refunds and incorrectly deposited 4 receipts to allow the over-collection of accounts receivables to be 5 paid back to the recipient, provided ten percent (10%) flexibility 6 is allowed between federal and other funds within this section 7 From Victims of Crime Act Federal Fund (0146). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .