HOUSE BILL NO. 10 103RD GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE DEATON. 0010H.01I JOSEPH ENGLER, Chief Clerk
AN ACT To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the several divisions and programs thereof, and the Missouri Health Facilities Review Committee to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer money among certain funds for the period beginning July 1, 2025, and ending June 30, 2026.
Be it enacted by the General Assembly of the state of Missouri, as follows:
1 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, 2025, and ending June 30, 2026, as follows:
1 Section 10.005. To the Department of Mental Health 2 For the Office of the Director, provided three percent (3%) flexibility is 3 allowed from this section to Section 10.575 4 Personal Service ................................................................................................$630,333 5 Annual salary adjustment in accordance with Section 105.005, 6 RSMo ....................................................................................................................22,000 7 Expense and Equipment........................................................................... 20,385 8 From General Revenue Fund ..........................................................................................672,718
9 Personal Service ..................................................................................................105,698 10 Expense and Equipment........................................................................... 53,711 11 From Federal Funds ............................................................................................. 159,409 HB 10 2
12 Total ..............................................................................................................................$832,127
1 Section 10.010. To the Department of Mental Health 2 For the Office of the Director 3 For paying overtime to state employees. Nonexempt state employees 4 identified by Section 105.935, RSMo, will be paid first with any 5 remaining funds being used to pay overtime to any other state 6 employees 7 Personal Service 8 From General Revenue Fund .....................................................................................$1,401,586
1 Section 10.015. To the Department of Mental Health 2 For the Office of the Director 3 For contracted staffing for: Fulton State Hospital, Northwest Missouri 4 Psychiatric Rehabilitation Center, the Forensic Treatment Center, 5 Hawthorn Children’s Psychiatric Hospital, Higginsville 6 Habilitation Center, Northwest Community Services, and 7 Southeast Missouri Residential Services 8 Expense and Equipment 9 From Federal Funds .................................................................................................$26,979,316
1 Section 10.020. To the Department of Mental Health 2 For the Office of the Director 3 For program operations and support, provided three percent (3%) 4 flexibility is allowed from this section to Section 10.575 5 Personal Service .............................................................................................$6,518,909 6 Expense and Equipment........................................................................... 1,059,977 7 From General Revenue Fund .......................................................................................7,578,886
8 Personal Service ...............................................................................................1,317,826 9 Expense and Equipment........................................................................... 792,009 10 From Federal Funds .....................................................................................................2,109,835
11 To procure and implement a multi-year, vendor-hosted, 12 integrated commercial off the shelf electronic health record 13 system for use in all of the department’s hospitals and facilities, 14 provided thirty percent (30%) is allowed between personal 15 service and expense and equipment 16 Personal Service ..................................................................................................648,233 HB 10 3
17 Expense and Equipment........................................................................... 3,490,000 18 From General Revenue Fund ............................................................................... 4,138,233 19 Total .........................................................................................................................$13,826,954
1 Section 10.025. To the Department of Mental Health 2 For the Office of the Director 3 For staff training, provided ten percent (10%) flexibility is allowed 4 between personal service and expense and equipment and three 5 percent (3%) flexibility is allowed from this section to Section 6 10.575 7 Expense and Equipment 8 From General Revenue Fund ........................................................................................$659,140
9 Personal Service ..................................................................................................231,677 10 Expense and Equipment........................................................................... 290,361 11 From Federal Funds ........................................................................................................522,038
12 For the Caring for Missourians' Mental Health Initiative 13 Expense and Equipment 14 From Federal Funds ............................................................................................. 551,705 15 Total ...........................................................................................................................$1,732,883
1 Section 10.030. To the Department of Mental Health 2 For the Office of the Director 3 For Employee Support Resources 4 For support services to DMH state operated facilities and office staff 5 Personal Service ................................................................................................$396,636 6 Expense and Equipment........................................................................... 1,269,650 7 From Federal Funds ...................................................................................................$1,666,286
1 Section 10.035. To the Department of Mental Health 2 For the Office of the Director 3 For funding insurance, private pay, licensure fee, and/or Medicaid 4 refunds by state facilities operated by the Department of Mental 5 Health 6 From General Revenue Fund ........................................................................................$205,000
7 For refunds, provided twenty-five percent (25%) flexibility is allowed 8 between federal and other funds 9 From Federal Funds ........................................................................................................500,000 HB 10 4
10 From Mental Health Interagency Payments Fund .................................................................100 11 From Mental Health Intergovernmental Transfer Fund.........................................................100 12 From Compulsive Gamblers Fund .........................................................................................100 13 From Health Initiatives Fund .................................................................................................100 14 From Mental Health Earnings Fund .................................................................................50,000 15 From Habilitation Center Room and Board Fund.............................................................10,000 16 From Inmate Fund..................................................................................................................100 17 From Mental Health Trust Fund .......................................................................................25,000 18 From DMH Local Tax Matching Fund ...........................................................................150,000
19 For the transfer payment of refunds set off against debts as required by 20 Section 143.786, RSMo 21 From Debt Offset Escrow Fund ........................................................................... 25,000 22 Total ..............................................................................................................................$965,500
1 Section 10.040. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the Mental 3 Health Trust Fund 4 From Abandoned Fund Account...................................................................................$150,000
1 Section 10.045. To the Department of Mental Health 2 For the Office of the Director 3 For receipt and disbursement of donations and gifts which may become 4 available to the Department of Mental Health during the year 5 (excluding federal grants and funds) 6 Personal Service ................................................................................................$587,347 7 Expense and Equipment........................................................................... 1,925,000 8 From Mental Health Trust Fund ................................................................................$2,512,347
1 Section 10.050. To the Department of Mental Health 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 5 may become available between sessions of the General Assembly 6 provided the General Assembly shall be notified of the source of 7 any new funds and the purpose for which they shall be expended, 8 in writing, prior to the use of said funds 9 Personal Service ................................................................................................$156,157 10 Expense and Equipment........................................................................... 2,462,390 HB 10 5
11 From Federal Funds ...................................................................................................$2,618,547
1 Section 10.055. To the Department of Mental Health 2 For Medicaid payments related to intergovernmental payments 3 From Federal Funds .................................................................................................$11,900,000 4 From Mental Health Intergovernmental Transfer Fund....................................... 6,600,000 5 Total .........................................................................................................................$18,500,000
1 Section 10.060. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the 3 Department of Social Services Intergovernmental Transfer Fund 4 for providing the state match for the Department of Mental 5 Health payments 6 From General Revenue Fund .................................................................................$399,487,368
1 Section 10.065. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the 3 General Revenue Fund to provide the state match for the 4 Department of Mental Health payments 5 From Federal Funds ...............................................................................................$393,623,656
1 Section 10.070. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the 3 General Revenue Fund for Disproportionate Share Hospital 4 funds leveraged by the Department of Mental Health – Institution 5 of Mental Disease facilities 6 From Federal Funds .................................................................................................$50,000,000
1 Section 10.100. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For the administration of statewide comprehensive psychiatric services 4 and alcohol and drug abuse prevention and treatment programs, 5 provided three percent (3%) flexibility is allowed from this 6 section to Section 10.575 7 Personal Service .............................................................................................$2,928,666 8 Expense and Equipment........................................................................... 80,459 9 From General Revenue Fund .......................................................................................3,009,125
10 Personal Service ...............................................................................................1,693,360 HB 10 6
11 Expense and Equipment........................................................................... 1,885,533 12 From Federal Funds .....................................................................................................3,578,893
13 Personal Service ....................................................................................................79,737 14 Expense and Equipment........................................................................... 5,000 15 From Opioid Addiction Treatment and Recovery Fund ...................................................84,737
16 Personal Service 17 From Health Initiatives Fund ............................................................................... 65,684 18 Total ...........................................................................................................................$6,738,439
1 Section 10.105. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For prevention and education services, provided three percent (3%) 4 flexibility is allowed from this section to Section 10.575 5 From Federal Funds .................................................................................................$15,887,861 6 From Health Initiatives Fund ............................................................................................82,148 7 From Mental Health Earnings Fund ...............................................................................475,024 8 From Department of Mental Health Federal Stimulus - 2021 Fund ...............................799,634
9 Personal Service ..................................................................................................122,690 10 Expense and Equipment........................................................................... 1,372,959 11 From General Revenue Fund .......................................................................................1,495,649 12 Personal Service ..................................................................................................166,586 13 Expense and Equipment......................................................................................285,585 14 From Federal Funds ........................................................................................................452,171
15 For enabling enforcement of the provisions of the Family Smoking 16 Prevention and Tobacco Control Act of 2009 in collaboration 17 with the Department of Public Safety, Division of Alcohol and 18 Tobacco Control 19 Personal Service ..................................................................................................342,077 20 Expense and Equipment........................................................................... 194,743 21 From Federal Funds ........................................................................................................536,820
22 For suicide prevention initiatives 23 Personal Service ....................................................................................................24,048 24 Expense and Equipment........................................................................... 829,797 25 From Federal Funds ........................................................................................................853,845 HB 10 7
26 For community grants to local governments impacted by the opioid 27 epidemic 28 From Opioid Addiction Treatment and Recovery Fund ...................................... 6,900,000 29 Total .........................................................................................................................$27,483,152
1 Section 10.110. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For Recovery Support Services and Recovery Community Centers 4 Expense and Equipment 5 From General Revenue Fund .....................................................................................$4,402,527 6 From Federal Funds .....................................................................................................2,598,084 7 From Opioid Addiction Treatment and Recovery Fund ..............................................3,035,879
8 For peer-to-peer substance use disorder and mental health recovery 9 support services, located in any city with more than one hundred 10 sixty thousand but fewer than two hundred thousand inhabitants