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

HOUSE BILL NO. 11 103RD GENERAL ASSEMBLY 0011H.06T 2025

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, 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 11.000. Each appropriation in this act shall consist of the item 2 or 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 6 1. Any clarification of purpose in Part 2 shall state the section or 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 CCS SS SCS HCS HB 11 2

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 Social 15 Services in implementing the appropriations found in Part 1 and 16 Part 2 of this act. An appropriation may be comprised in whole 17 or in part of a one-time amount, and such one-time amount shall 18 be construed to be a component part of, and not in addition to, the 19 stated appropriation amount. Any amount of an appropriation 20 identified as “one-time” in this act shall not be considered an 21 addition to any ongoing core appropriation(s) in future fiscal 22 periods beyond June 30, 2026. Any amount identified as one-time 23 may, however, be requested in any future fiscal period as a new 24 decision item.

1 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 11.905 5 Personal Service ................................................................................................$154,437 6 Annual salary adjustment in accordance with Section 105.005, 7 RSMo ......................................................................................................................6,362 8 Expense and Equipment........................................................................... 33,676 9 From General Revenue Fund (1101) ..............................................................................194,475

10 Personal Service ..................................................................................................183,905 11 Annual salary adjustment in accordance with Section 105.005, 12 RSMo ......................................................................................................................2,740 13 Expense and Equipment........................................................................... 1,197 14 From Department of Social Services Federal Fund (1610) ............................................187,842

15 Personal Service ....................................................................................................43,323 16 Annual salary adjustment in accordance with Section 105.005, 17 RSMo ....................................................................................................... 685 18 From Child Support Enforcement Fund (1169) ................................................... 44,008 19 Total (Not to exceed 2.93 F.T.E.) .................................................................................$426,325 CCS SS SCS HCS HB 11 3

1 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 .............................................................................................$1,399,932 6 Expense and Equipment (including $4,413 one-time) ............................. 162,625 7 From General Revenue Fund (1101) ...........................................................................1,562,557

8 Personal Service ..................................................................................................573,659 9 Expense and Equipment (including $4,414 one-time) ............................. 27,003 10 From Department of Social Services Federal Fund (1610) ................................. 600,662 11 Total (Not to exceed 33.00 F.T.E.) ............................................................................$2,163,219

1 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 5 may become available between sessions of the General Assembly 6 provided that the General Assembly shall be notified of the 7 source 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 (1610) .......................................$2,000,000 10 From Family Services Donations Fund (1167) .................................................... 33,999 11 Total ...........................................................................................................................$2,033,999

1 Section 11.020. 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 Department of Social Services Federal Fund (1610) .....................................$21,141,931

1 Section 11.022. To the Department of Social Services 2 For the Office of the Director 3 For implementation on the citizen engagement platform of a Medicaid 4 application providing transparency and two-way communication 5 for efficient application processing and data collection as well as 6 additional functionality necessary to improve efficiency in 7 processing applications for assistance, provided the department 8 shall procure services in compliance with Chapter 34 RSMo. 9 From General Revenue Fund (1101) (one-time) .......................................................$4,000,000 CCS SS SCS HCS HB 11 4

1 Section 11.025. 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 11.905 5 Personal Service ................................................................................................$377,106 6 Expense and Equipment........................................................................... 11,068 7 From General Revenue Fund (1101) ..............................................................................388,174

8 Personal Service ..................................................................................................235,005 9 Expense and Equipment........................................................................... 29,850 10 From Department of Social Services Federal Fund (1610) ............................................264,855

11 Personal Service 12 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 28,577 13 Total (Not to exceed 10.50 F.T.E.) ...............................................................................$681,606

1 Section 11.030. 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 7 for administrative expenses, provided five percent (5%) 8 flexibility is allowed between personal service and expense and 9 equipment; and further provided three percent (3%) flexibility is 10 allowed from this section to Section 11.905 11 Personal Service .............................................................................................$2,071,660 12 Expense and Equipment........................................................................... 224,036 13 From General Revenue Fund (1101) (Not to exceed 33.50 F.T.E.) ..........................$2,295,696

1 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, 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 11.905 7 Personal Service .............................................................................................$1,976,621 8 Expense and Equipment........................................................................... 400,061 9 From General Revenue Fund (1101) ...........................................................................2,376,682 CCS SS SCS HCS HB 11 5

10 Personal Service ...............................................................................................2,469,950 11 Expense and Equipment........................................................................... 900,498 12 From Department of Social Services Federal Fund (1610) .........................................3,370,448

13 Personal Service ....................................................................................................14,157 14 Expense and Equipment........................................................................... 4,095 15 From FMAP Enhancement – Expansion Fund (2466) .....................................................18,252

16 Expense and Equipment 17 From Recovery Audit and Compliance Fund (1974) .......................................................82,087

18 Personal Service ..................................................................................................342,361 19 Expense and Equipment (including $1,298,549 one-time) ...................... 1,440,495 20 From Medicaid Provider Enrollment Fund (1990) .............................................. 1,782,856 21 Total (Not to exceed 90.05 F.T.E.) ............................................................................$7,630,325

1 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 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 11.905 7 Expense and Equipment 8 From General Revenue Fund (1101) .........................................................................$1,141,709 9 From Department of Social Services Federal Fund (1610) ................................. 5,858,291 10 Total ...........................................................................................................................$7,000,000

1 Section 11.045. 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, maintenance, and 5 operation costs for a Medicaid provider enrollment system 6 Expense and Equipment 7 From General Revenue Fund (1101) ............................................................................$623,806 8 From Department of Social Services Federal Fund (1610) (one-time) ............... 17,301,192 9 Total .........................................................................................................................$17,924,998

1 Section 11.050. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit CCS SS SCS HCS HB 11 6

4 For recovery audit services 5 Expense and Equipment 6 From Recovery Audit and Compliance Fund (1974) ................................................$1,200,000

1 Section 11.055. 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 11.905 5 Personal Service .............................................................................................$2,251,869 6 Expense and Equipment........................................................................... 382,549 7 From General Revenue Fund (1101) ...........................................................................2,634,418

8 Personal Service ...............................................................................................1,310,944 9 Expense and Equipment........................................................................... 251,278 10 From Department of Social Services Federal Fund (1610) .........................................1,562,222

11 Personal Service ......................................................................................................5,246 12 Expense and Equipment........................................................................... 317 13 From Department of Social Services Administrative Trust Fund (1545) ...........................5,563

14 Personal Service ....................................................................................................65,736 15 Expense and Equipment........................................................................... 750 16 From Child Support Enforcement Fund (1169) ................................................................66,486

17 For the centralized inventory system, for reimbursable goods and 18 services provided by the department, and for related equipment 19 replacement and maintenance expenses 20 From Department of Social Services Administrative Trust Fund (1545) ............ 1,200,000 21 Total (Not to exceed 50.52 F.T.E.) ............................................................................$5,468,689

1 Section 11.060. 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 ................................................................................................$881,572 7 Expense and Equipment........................................................................... 21,300 8 From General Revenue Fund (1101) ..............................................................................902,872

9 Personal Service ..................................................................................................779,815 CCS SS SCS HCS HB 11 7

10 Expense and Equipment........................................................................... 18,964 11 From Department of Social Services Federal Fund (1610) ................................. 798,779 12 Total (Not to exceed 35.00 F.T.E.) ............................................................................$1,701,651

1 Section 11.065. To the Department of Social Services 2 For the Division of Finance and Administrative Services 3 For the Compliance Services Unit 4 For administrative expenses 5 Personal Service 6 From General Revenue Fund (1101) ............................................................................$212,461 7 From Department of Social Services Federal Fund (1610) ............................................136,746 8 From Temporary Assistance for Needy Families Federal Fund (1199) .........................255,985 9 From Victims of Crime Act Federal Fund (1146) ..........................................................178,134

10 For contracted compliance monitoring and fiscal monitoring services 11 Expense and Equipment 12 From Department of Social Services Federal Fund (1610) .........................................1,031,110 13 From Temporary Assistance for Needy Families Federal Fund (1199) .............. 578,663 14 Total (Not to exceed 11.00 F.T.E.) ............................................................................$2,393,099

1 Section 11.070. T