SECOND REGULAR SESSION

HOUSE BILL NO. 2010 100TH GENERAL ASSEMBLY INTRODUCED BY REPRESENTATIVE SMITH. 2010H.01I DANA RADEMAN MILLER, 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, 2020, and ending June 30, 2021.

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, 2020, and ending June 30, 2021, as follows:

Section 10.005. To the Department of Mental Health 2 For the Office of the Director, provided that three percent (3%) flexibility 3 is allowed from this section to Section 10.575 4 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $465,805 5 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,751 6 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475,556

7 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,621 8 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,561 9 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,182

EXPLANATION Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law. Matter in bold-face type in the above bill is proposed language. HB 2010 2

10 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $609,738

Section 10.006. To the Department of Mental Health 2 For the purpose of funding performance incentives for high-achieving 3 department employees, provided one-hundred percent (100%) 4 flexibility is allowed into this section and zero percent (0%) 5 flexibility is allowed out of this section 6 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $511,090 7 From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193,151 8 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $704,241

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,157,186

Section 10.015. To the Department of Mental Health 2 For the Office of the Director 3 For program operations and support, provided that three percent (3%) 4 flexibility is allowed from this section to Section 10.575 5 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,012,976 6 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355,885 7 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,368,861

8 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,030,172 9 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 824,585 10 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,854,757 11 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,223,618

Section 10.020. To the Department of Mental Health 2 For the Office of the Director HB 2010 3

3 For staff training, provided that twenty-five percent (25%) flexibility is 4 allowed from personal service to expense and equipment and that 5 three percent (3%) flexibility is allowed from this section to 6 Section 10.575 7 Expense and Equipment 8 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $357,710

9 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191,301 10 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289,752 11 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481,053

12 For the Caring for Missourians' Mental Health Initiative, provided that 13 twenty-five percent (25%) flexibility is allowed from personal 14 service to expense and equipment 15 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,060 16 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 951,705 17 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 957,765 18 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,796,528

Section 10.025. To the Department of Mental Health 2 For the Office of the Director 3 For funding insurance, private pay, licensure fee, and/or Medicaid refunds 4 by state facilities operated by the Department of Mental Health 5 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $205,000

6 For refunds, provided that seventy-five percent (75%) flexibility is 7 allowed between federal and other funds 8 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,000 9 From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 10 From Mental Health Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 11 From Compulsive Gamblers Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 12 From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 13 From Mental Health Earnings Fund.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,000 14 From Inmate Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 15 From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,000 16 From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,000 HB 2010 4

17 From Habilitation Center Room and Board Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,000

18 For the transfer payment of refunds set off against debts as required by 19 Section 143.786, RSMo 20 From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,000 21 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $715,500

Section 10.030. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100,000

Section 10.035. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $477,061 7 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,925,000 8 From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,402,061

Section 10.040. 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 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 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $126,123 10 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,461,929 11 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,588,052

Section 10.045. To the Department of Mental Health 2 For the Office of the Director HB 2010 5

3 For housing assistance for homeless veterans, provided that three percent 4 (3%) flexibility is allowed from this section to Section 10.575 5 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $255,000 6 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000

7 For Shelter Plus Care grants 8 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,336,746 9 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,591,746

Section 10.050. 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

Section 10.055. 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 Health 5 payments 6 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $283,849,564

Section 10.060. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the General 3 Revenue Fund for supporting the Department of Mental Health 4 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $67,755,158

Section 10.065. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the General 3 Revenue Fund to provide the state match for the Department of 4 Mental Health payments 5 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $201,393,308

Section 10.070. To the Department of Mental Health 2 Funds are to be transferred out of the State Treasury to the General 3 Revenue Fund for Disproportionate Share Hospital funds

Statutes affected:
10.010, 10.006, 10.005, 105.935, 10.575, 7.82


Senate Committee Minutes:
SENATE COMMITTEE MINUTES Bill No.: HS HCS HB 2010
Sponsor: Smith
Hearing Date: 5/1/2020


COMMITTEE: Appropriations

CHAIRMAN: Hegeman

DATE REFERRED: 4/30/2020 DATE HEARING REQUESTED: 4/29/2020



STAFF:
Angie Giddings
Sarah Juergensmeyer
Michelle Kliethermes
Adam Koenigsfeld
Megan Rademann
Dana Wansing
Alyssa Wiles


WITNESSES GIVING INFORMATION:
Valerie Huhn - Dept. of Mental Health
Alex Tuttle - Dept. of Health & Senior Services


WITNESSES FOR:



WITNESSES AGAINST: