HOUSE BILL NO. 10 103RD GENERAL ASSEMBLY 0010H.06T 2025
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:
PART 1 1 Section 10.000. 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, 4 as well as all additional clarifications of purpose in Part 2 of this 5 act that make reference by section to said item or items in Part 1. 6 Any clarification of purpose in Part 2 shall state the section or CCS SS SCS HCS HB 10 2
7 sections in Part 1 to which it attaches and shall, together with the 8 language of said section(s) in Part 1, form the complete statement 9 of purpose of the appropriation. As such, the provisions of Part 10 2 of this act shall not be severed from Part 1, and if any 11 clarification of purpose in Part 2 is for any reason held to be 12 invalid, such decision shall invalidate all of the appropriations in 13 this act of which said clarification of purpose is a part. Part 3 of 14 this act shall consist of guidance to the Department of Mental 15 Health and the Department of Health and Senior Services in 16 implementing the appropriations found in Part 1 and Part 2 of this 17 act. An appropriation may be comprised in whole or in part of a 18 one-time amount, and such one-time amount shall be construed 19 to be a component part of, and not in addition to, the stated 20 appropriation amount. Any amount of an appropriation identified 21 as “one-time” in this act shall not be considered an addition to 22 any ongoing core appropriation(s) in future fiscal periods beyond 23 June 30, 2026. Any amount identified as one-time may, however, 24 be requested in any future fiscal period as a new decision item.
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........................................................................... 20,783 8 From General Revenue Fund (1101) ..............................................................................673,116
9 Personal Service ..................................................................................................105,698 10 Expense and Equipment........................................................................... 53,805 11 From Department of Mental Health Federal Fund (1148) ................................... 159,503 12 Total (Not to exceed 7.82 F.T.E.) .................................................................................$832,619
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 CCS SS SCS HCS HB 10 3
7 Personal Service 8 From General Revenue Fund (1101) .........................................................................$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 Department of Mental Health Federal Fund (1148) (one-time) .....................$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 (including $700,000 one-time) ......................... 1,060,560 7 From General Revenue Fund (1101) ...........................................................................7,579,469
8 Personal Service ...............................................................................................1,317,826 9 Expense and Equipment........................................................................... 794,441 10 From Department of Mental Health Federal Fund (1148) ...........................................2,112,267
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 Personal Service ..................................................................................................648,233 15 Expense and Equipment........................................................................... 3,490,054 16 From General Revenue Fund (1101) ................................................................... 4,138,287 17 Total (Not to exceed 126.55 F.T.E.) ........................................................................$13,830,023
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 from 4 personal service to expense and equipment and three percent 5 (3%) flexibility is allowed from this section to Section 10.575 6 Expense and Equipment CCS SS SCS HCS HB 10 4
7 From General Revenue Fund (1101) ............................................................................$659,140 8 Personal Service ..................................................................................................231,677 9 Expense and Equipment........................................................................... 290,481 10 From Department of Mental Health Federal Fund (1148) ..............................................522,158
11 For the Caring for Missourians' Mental Health Initiative 12 Expense and Equipment 13 From Department of Mental Health Federal Fund (1148) ................................... 551,705 14 Total ...........................................................................................................................$1,733,003
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 Department of Mental Health Federal Fund (1148) (Not to exceed 8 5.00 F.T.E.) ....................................................................................................$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 (1101) ............................................................................$205,000
7 For refunds 8 From Department of Mental Health Federal Fund (1148) ..............................................500,000 9 From Mental Health Interagency Payments Fund (1109)......................................................100 10 From Mental Health Intergovernmental Transfer Fund (1147) .............................................100 11 From Compulsive Gamblers Fund (1249) .............................................................................100 12 From Health Initiatives Fund (1275) .....................................................................................100 13 From Mental Health Earnings Fund (1288) ......................................................................50,000 14 From Habilitation Center Room and Board Fund (1435) .................................................10,000 15 From Inmate Fund (1540) ......................................................................................................100 16 From Mental Health Trust Fund (1926)............................................................................25,000 17 From DMH Local Tax Matching Fund (1930) ...............................................................150,000
18 For the transfer payment of refunds set off against debts as required by 19 Section 143.786, RSMo CCS SS SCS HCS HB 10 5
20 From Debt Offset Escrow Fund (1753) ............................................................... 25,000 21 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 (1863) .......................................................................$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 (1926) (Not to exceed 7.50 F.T.E.)........................$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 11 From Department of Mental Health Federal Fund (1148) (Not to exceed 12 2.00 F.T.E.) ....................................................................................................$2,618,547
1 Section 10.055. To the Department of Mental Health 2 For Medicaid payments related to intergovernmental payments 3 From Department of Mental Health Federal Fund (1148) .......................................$11,900,000 4 From Mental Health Intergovernmental Transfer Fund (1147) ........................... 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 CCS SS SCS HCS HB 10 6
4 for providing the state match for the Department of Mental 5 Health payments 6 From General Revenue Fund (1101) .....................................................................$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 Department of Mental Health Federal Fund (1148) .....................................$373,623,656
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 Department of Mental Health Federal Fund (1148) .......................................$50,000,000
1 Section 10.090. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the 3 General Revenue Fund 4 From Title XXI - Children’s Health Insurance Program 5 Federal Fund (1159) (one-time) ...................................................................$10,000,000
1 Section 10.094. To the Department of Mental Health 2 For the Office of the Director 3 For grant funding for the Crisis Counseling Program to provide services 4 related to presidential disaster declarations 5 Personal Service ..................................................................................................$67,945 6 Expense and Equipment........................................................................... 2,090,000 7 From Department of Mental Health Federal Fund (1148) 8 (Not to exceed 1.00 F.T.E).............................................................................$2,157,945
1 Section 10.095. To the Department of Mental Health 2 For an Outpatient Comprehensive Substance Treatment and 3 Rehabilitation (CSTAR) Provider, located in any city not within 4 a county, with at least twenty years of experience and currently 5 in the process of renovating clinics, to meet increasing substance 6 use needs in the community through clinic and recovery housing 7 renovations and expanded telehealth access 8 From Opioid Addiction Treatment and Recovery Fund (1705) ...................................$750,000 CCS SS SCS HCS HB 10 7
1 Section 10.096. To the Department of Mental Health 2 For the planning, design, construction, expansion, and operation of a 3 children’s behavioral health hospital and outpatient treatment 4 center of a hospital founded in 1879, and located in any city with 5 more than twenty-three thousand but fewer than twenty-seven 6 thousand inhabitants and located in a county with more than one 7 million inhabitants 8 From General Revenue Fund (1101) (one-time) .....................................................$10,000,000
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........................................................................... 80,657 9 From General Revenue Fund (1101) ...........................................................................3,009,323
10 Personal Service ...............................................................................................1,693,360 11 Expense and Equipment........................................................................... 1,885,784 12 From Department of Mental Health Federal Fund (1148) ...........................................3,579,144
13 Personal Service 14 From Health Initiatives Fund (1275) ................................................................... 65,684 15 Total (Not to exceed 59.92 F.T.E.) ............................................................................$6,654,151
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 Department of Mental Health Federal Fund (1148) .......................................$17,854,737 6 From Compulsive Gaming Prevention Fund (1245) ...................................................1,500,000 7 From Health Initiatives Fund (1275) ...................................