HOUSE BILL NO. 20 101ST GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE SMITH (163). 0020H.01I DANA RADEMAN MILLER, Chief Clerk
AN ACT To appropriate money for the expenses, grants, and distributions of the Office of Administration, Department of Mental Health, 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, 2021 and ending June 30, 2022.
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, 2021 and ending June 30, 2022 as follows:
Section 20.005. To the Office of Administration 2 For the Information Technology Services Division, provided that not more 3 than three percent (3%) flexibility is allowed from this section to 4 Section 5.140 of House Bill 5, an Act of the 101st General 5 Assembly, First Regular Session, and provided that twenty-five 6 percent (25%) flexibility is allowed between and within personal 7 service and expense and equipment within this section and Section 8 5.025 of House Bill 5, an Act of the 101st General Assembly, First 9 Regular Session, and further provided that twenty-five percent 10 (25%) flexibility is allowed between and within departments' 11 general revenue funds, twenty-five percent (25%) flexibility is 12 allowed between and within departments' federal funds, and 13 twenty-five percent (25%) flexibility is allowed between and 14 within departments' other funds HB 20 2
15 For the Department of Social Services 16 Expense and Equipment 17 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $466,534 18 From OA Information Technology Federal Fund.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,399,601 19 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,866,135
Section 20.010. To the Department of Mental Health 2 For the Division of Behavioral Health 3 For expenditures related to Section 36(c) of Article IV of the Missouri 4 Constitution, provided that ten percent (10%) flexibility is allowed 5 between this section and Sections indicated in 10.110 and 10.210 6 of House Bill 10, an Act of the 101st General Assembly, First 7 Regular Session 8 Expense and Equipment 9 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,394,371 10 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138,549,343 11 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $153,943,714
Section 20.015. To the Department of Social Services 2 For the Office of the Director 3 For the Missouri Medicaid Audit and Compliance Unit, provided that not 4 more than three percent (3%) flexibility is allowed from this 5 section to Section 11.950 of House Bill 11, an Act of the 101st 6 General Assembly, First Regular Session 7 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,250 8 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,015 9 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,265
10 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,250 11 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,015 12 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,265 13 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $32,530
Section 20.020. To the Department of Social Services 2 For the Family Support Division 3 For the income maintenance field staff and operations, provided that not 4 more than three percent (3%) flexibility is allowed from this HB 20 3
5 section to Section 11.950 of House Bill 11, an Act of the 101s t 6 General Assembly, First Regular Session 7 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,001,923 8 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,416,088 9 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,418,011
10 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,005,767 11 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,248,263 12 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,254,030 13 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,672,041
Section 20.025. To the Department of Social Services 2 For the Family Support Division 3 For the third party eligibility verification services to utilize public records 4 as well as other established, credible data sources to evaluate 5 income, resources, and assets of each applicant on no less than a 6 quarterly basis; the contractor shall also, on a monthly basis, 7 identify participants of covered programs who have died, moved 8 out of state, or been incarcerated longer than 90 days, provided that 9 not more than ten percent (10%) flexibility is allowed between this 10 section and Section 11.130 of House Bill 11, an Act of the 101s t 11 General Assembly, First Regular Session 12 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $947,294 13 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,841,881 14 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,789,175
Section 20.030. To the Department of Social Services 2 For the MO HealthNet Division 3 For administrative services, provided that not more than one quarter of 4 one percent (0.25%) flexibility is allowed between this section and 5 Sections 11.700, 11.715, 11.730, 11.745, 11.750, 11.760, and 6 11.765 of House Bill 11, an Act of 101st General Assembly, First 7 Regular Session, and further provided that not more than three 8 percent (3%) flexibility is allowed from this section to Section 9 11.950 of House Bill 11, an Act of the 101st General Assembly, 10 First Regular Session
11 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $396,003 HB 20 4
12 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,284,874 13 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,680,877
14 Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 472,009 15 Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,296,087 16 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,768,096 17 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,448,973
Section 20.035. To the Department of Social Services 2 For the MO HealthNet Division 3 For the operation of the information systems, provided that not more than 4 one quarter of one percent (0.25%) flexibility is allowed between 5 this section and Sections 11.700, 11.715, 11.730, 11.745, 11.750, 6 11.760, and 11.765 of House Bill 11, an Act of the 101st General 7 Assembly, First Regular Session, and further provided that not 8 more than three percent (3%) flexibility is allowed from this 9 section to Section 11.950 of House Bill 11, an Act of the 101st 10 General Assembly, First Regular Session 11 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,950,000 12 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,850,000 13 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,800,000
Section 20.040. To the Department of Social Services 2 For the MO HealthNet Division 3 For payments to hospitals under the Federal Reimbursement Allowance 4 Program including state costs to pay for an independent audit of 5 Disproportionate Share Hospital payments as required by the 6 Centers for Medicare and Medicaid Services, for the expenses of 7 the Poison Control Center in order to provide services to all 8 hospitals within the state, and for the Gateway to Better Health 9 1115 Demonstration 10 For a continuation of the services provided through Medicaid Emergency 11 Psychiatric Demonstration as required by Section 208.152(16), 12 RSMo 13 From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $129,838,578 HB 20 5
Section 20.045. To the Department of Social Services 2 For the MO HealthNet Division 3 For expenditures related to Section 36(c) of Article IV of the Missouri 4 Constitution, provided that not more than ten percent (10%) 5 flexibility is allowed between this section and Sections 11.700, 6 11.715, 11.720, 11.725, 11.730, 11.745, 11.755, 11.760, 11.765, 7 11.785, 11.800, 11.805, and 11.815 of House Bill 11, an Act of the 8 101st General Assembly, First Regular Session 9 From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $103,541,001 10 From Federal Funds.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,415,548,904 11 From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,543,052 12 From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,035,572 13 From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 36,530,069 14 Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,571,198,598 T
Statutes affected: