HOUSE BILL NO. 2010 103RD GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE DEATON. 2010H.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, 2026, and ending June 30, 2027.
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, 2026, and ending June 30, 2027, 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 ................................................................................................$652,333 5 Expense and Equipment ........................................................................... 18,762 6 From General Revenue Fund (1101) ..............................................................................671,095
7 Personal Service ..................................................................................................105,698 8 Expense and Equipment ........................................................................... 53,805 9 From Department of Mental Health Federal Fund (1148) ................................... 159,503 10 Total ..............................................................................................................................$830,598 HB 2010 2
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 (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 Southeast Missouri Mental Health Center, the 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) .......................................$15,000,000
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 ........................................................................... 305,736 7 From General Revenue Fund (1101) ...........................................................................6,824,645
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 provided thirty percent (30%) is allowed between personal 15 service and expense and equipment 16 Personal Service ..................................................................................................648,233 17 Expense and Equipment ........................................................................... 3,490,054 18 From General Revenue Fund (1101) ................................................................... 4,138,287 HB 2010 3
19 Total .........................................................................................................................$13,075,199
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 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) .........................................$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, provided twenty-five percent (25%) flexibility is allowed 8 between federal and other funds 9 From Department of Mental Health Federal Fund (1148) ..............................................500,000 10 From Mental Health Interagency Payments Fund (1109)......................................................100 11 From Mental Health Intergovernmental Transfer Fund (1147) .............................................100 HB 2010 4
12 From Compulsive Gamblers Fund (1249) .............................................................................100 13 From Health Initiatives Fund (1275) .....................................................................................100 14 From Mental Health Earnings Fund (1288) ......................................................................50,000 15 From Habilitation Center Room and Board Fund (1435) .................................................10,000 16 From Inmate Fund (1540) ......................................................................................................100 17 From Mental Health Trust Fund (1926)............................................................................25,000 18 From DMH Local Tax Matching Fund (1930) ...............................................................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 (1753) ............................................................... 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 (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).....................................................................$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) .........................................$2,618,547 HB 2010 5
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 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) .....................................$322,779,896
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 10.075. 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 ................................................................................................$123,430 6 Expense and Equipment ........................................................................... 3,402,374 7 From Department of Mental Health Federal Fund (1148) .........................................$3,525,804
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, HB 2010 6
5 provided three percent (3%) flexibility is allowed from this 6 section to Section 10.575 7 Personal Service .............................................................................................$2,539,524 8 Expense and Equipment ........................................................................... 75,388 9 From General Revenue Fund (1101) ...........................................................................2,614,912
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 ..................................................................................................389,142 14 Expense and Equipment ........................................................................... 270 15 From Mental Health Reinvestment Fund (1352) ............................................................389,412
16 Personal Service 17 From Health Initiatives Fund (1275) ................................................................... 65,684 18 Total ...........................................................................................................................$6,649,152
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) .......................................$16,529,737 6 From Health Initiatives Fund (1275) ................................................................................82,148 7 From Mental Health Earnings Fund (1288) ....................................................................475,024
8 Personal Service 9 From Mental Health Reinvestment Fund (1352) ..............................................................36,960
10 Personal Service ....................................................................................................85,730 11 Expense and Equipment ........................................................................... 1,372,959 12 From General Revenue Fund (1101) ...........................................................................1,458,689
13 Personal Service ..................................................................................................166,586 14 Expense and Equipment ........................................................................... 285,607 15 From Department of Mental Health Federal Fund (1148) ..............................................452,193
16 For enabling enforcement of the provisions of the Family Smoking 17 Prevention and Tobacco Control Act of 2009, in collaboration HB 2010 7
18 with the Department of Public Safety, Division of Alcohol and 19 Tobacco Control 20 Personal Service ..................................................................................................342,077 21 Expense and Equipment ........................................................................... 201,159 22 From Department of Mental Health Federal Fund (1148) ..............................................543,236
23 For statewide distribution of opioid antagonists approved by the Food 24 and Drug Administration 25 From Opioid Addiction Treatment and Recovery Fund (1705) ..................................8,000,000
26 For suicide prevention initiatives 27 Personal Service ....................................................................................................24,048 28 Expense and Equipment ........................................................................... 829,806 29 From Department of Mental Health Federal Fund (1148) ................................... 853,854 30 Total .........................................................................................................................$28,431,841
1 Section 10.110. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For the Opioid Settlement Administration 4 For the reporting requirements pursuant to Section 196.1050, RSMo. 5 Personal Service ..................................................................................................$79,737 6 Expense and Equipment ........................................................................... 5,000 7 From Opioid Addiction Treatment and Recovery Fund (1705) .....................................$84,737
1 Section 10.115. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For Recovery Community Centers 4 From General Revenue Fund (1101) .........................................................................$3,670,740 5