FIRST EXTRAORDINARY SESSION

[I N T R O D U C E D]

SENATE BILL NO. 1

89th GENERAL ASSEMBLY


INTRODUCED BY SENATOR LYBYER.

Read 1st time May 16, 1997, and 1,000 copies ordered printed.

TERRY L. SPIELER, Secretary.

S1010.01I


AN ACT

To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health and the Department of Health, 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, for the period beginning July 1, 1997 and ending June 30, 1998.


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 Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each Department, Division, agency or program enumerated in each section for the item or items stated, and for no other purpose whatsoever chargeable to the fund designated, provided, however, that federal funds and block grants in the Department of Health shall be administered under the oversight of a committee composed of five members of the House of Representatives, to be appointed by the Speaker, five members of the Senate, to be appointed by the President Pro Tem, and the Director of the Department of Social Services and the Director of the Department of Health, (both of whom shall serve in an advisory capacity having no voting rights), and further provided that department proposals shall be submitted in writing to members of this committee thirty (30) days prior to scheduled meetings, for the period beginning July 1, 1997 and ending June 30, 1998, as follows:


 
 Section 10.005.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding Administration
     Personal Service. . . . . . . . . . . . . . . .$              5,469,488
     Expense and Equipment . . . . . . . . . . . . .               2,183,106
 From General Revenue Fund . . . . . . . . . . . . .               7,652,594
 
     Personal Service. . . . . . . . . . . . . . . .                 109,962
     Expense and Equipment . . . . . . . . . . . . .                 204,262
 From Federal Funds. . . . . . . . . . . . . . . . .                 314,224
 
 For program evaluation
     Expense and Equipment
 From General Revenue Fund . . . . . . . . . . . . .                 276,000
 From Federal Funds. . . . . . . . . . . . . . . . .                  50,000
 
 Total (Not to exceed 167.20 F.T.E.) . . . . . . . .$              8,292,818
 
 Section 10.010.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding the Office of Information Systems
     Personal Service. . . . . . . . . . . . . . . .$              2,187,350
     Personal Service and/or Expense and Equipment .                 292,644
     Expense and Equipment . . . . . . . . . . . . .               2,466,198
 From General Revenue Fund (Not to exceed 69.81 F.T.E.) . . . . . $    4,946,192
 
 Section 10.015.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding the administration of the Interstate Compact on
     Mental Health and the return of non-resident patients to their state of
     legal residence
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                  4,655
 
 Section 10.025.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding insurance, private pay, licensure fee and/or
     Medicaid refunds by state facilities operated by the Department of
     Mental Health
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                150,000    
 
 Section 10.030.  To the Department of Mental Health
 For the Office of the Director
 For  the purpose of funding receipt and disbursement of donations and gifts
     which may become available to the Department of Mental Health during
     the year (excluding federal grants and funds)
     Personal Service and/or Expense and Equipment
 From Mental Health Trust Fund . . . . . . . . . . .$              1,963,025
 
 For participation in pharmaceutical research, program evaluation, and related
     activities
     Personal Service and/or Expense and Equipment .                 495,000
 
 From Mental Health Trust Fund (Not to exceed 6.00 F.T.E.). . . . $    2,458,025
 
 Section 10.035.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding operational maintenance and repairs for state owned
     facilities
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              1,197,230
 
 Section 10.040. To the Department of Mental Health
 For the Office of the Director
 For  the purpose of funding the use of federal grants which become available
     between sessions of the General Assembly
     Personal Service and/or Expense and Equipment
 From Federal Funds (Not to exceed 10.00 F.T.E.) . .$              1,014,000    E
 
 Section 10.045.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding the payment of refunds set off against debts as
     required by Section 143.786, RSMo
 From Debt Offset Escrow Fund (0 F.T.E.) . . . . . .$                 70,000    E
 
 Section 10.050.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding the Caring Communities Program, including
     the Columbia partnership. . . . . . . . . . . .$              3,682,374
     Personal Service. . . . . . . . . . . . . . . .                  88,913
     Expense and Equipment . . . . . . . . . . . . .                  42,406
 From General Revenue Fund . . . . . . . . . . . . .               3,813,693
 
 For the Caring Communities Program
 From Federal Funds. . . . . . . . . . . . . . . . .                 250,000
 From General Revenue Reimbursements Fund. . . . . .               1,854,583
 
 Total (Not to exceed 1.77 F.T.E.) . . . . . . . . .$              5,918,276
 
 Section 10.055.  To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding cross-divisional treatment and support services
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                300,000
 
 Section 10.060.   To the Department of Mental Health
 For the Office of the Director
 For the purpose of funding work therapy for client workers at state agencies
     Personal Service. . . . . . . . . . . . . . . .$                 69,088
     Expense and Equipment . . . . . . . . . . . . .                     600
 From the Mental Health Interagency Payments Fund
     (Not to exceed 6.00 F.T.E.) . . . . . . . . . .$                 69,688
 
 Section 10. 070.   To the Department of Mental Health
 For the purpose of funding programs in response to changes in federal fiscal policies
     with regard to welfare reform.  No funds appropriated herein may be expended
     until a utilization plan has been received and reviewed by both the House
     Budget Committee Chair  and the Senate Appropriations Committee Chair
 For the Office of the Director
 For the purpose of funding services for children due to loss of Social Security
     Income. . . . . . . . . . . . . . . . . . . . .$             1,620,436
 For the purpose of funding a Work in Recovery Program for adults and minor
     parents . . . . . . . . . . . . . . . . . . . .                 630,000
 For the purpose of funding community-based services. . . . . . .     852,371
 
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              3,102,807
 
 Section 10.105.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding the administration of statewide comprehensive alcohol and
     drug abuse prevention and treatment programs
     Personal Service. . . . . . . . . . . . . . . .$              1,682,393
     Expense and Equipment . . . . . . . . . . . . .                 161,243
 From General Revenue Fund . . . . . . . . . . . . .               1,843,636
 
     Personal Service. . . . . . . . . . . . . . . .                 740,805
     Expense and Equipment . . . . . . . . . . . . .                 748,746
 From Federal Funds. . . . . . . . . . . . . . . . .               1,489,551
 
     Personal Service. . . . . . . . . . . . . . . .                 176,233
     Expense and Equipment . . . . . . . . . . . . .                  51,204
 From Health Initiatives Fund. . . . . . . . . . . .                 227,437
 
     Personal Service. . . . . . . . . . . . . . . .                  57,812
     Expense and Equipment . . . . . . . . . . . . .                  50,532
 From General Revenue Reimbursements Fund. . . . . .                 108,344
 
 For statewide needs assessment
 From Federal Funds. . . . . . . . . . . . . . . . .                 400,000
 
 Total (Not to exceed 78.27 F.T.E.). . . . . . . . .$              4,068,968
 
 Section 10.110.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding prevention and education services . . $      169,251
     Personal Service. . . . . . . . . . . . . . . .                   7,075
 From General Revenue Fund . . . . . . . . . . . . .                 176,326    
 
 For prevention and education services . . . . . . .               5,054,566
     Personal Service and/or Expense and Equipment .                 241,810
 From Federal Funds. . . . . . . . . . . . . . . . .               5,296,376
 
 For community based prevention. . . . . . . . . . .                 200,000
     Expense and Equipment . . . . . . . . . . . . .                 146,771
 From Health Initiatives Fund. . . . . . . . . . . .                 346,771
 
 Total (Not to exceed 6.00 F.T.E.) . . . . . . . . .$              5,819,473
 
 Section 10.115.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding the Comprehensive Substance Treatment and Rehabilitation Program            $     8,106,195
     Personal Service. . . . . . . . . . . . . . . .                   3,211
 From General Revenue Fund . . . . . . . . . . . . .               8,109,406
 
 For the purpose of funding the Comprehensive Substance Treatment and
     Rehabilitation Program
 From Federal Funds. . . . . . . . . . . . . . . . .              11,778,813
 From Health Initiatives Fund. . . . . . . . . . . .               4,844,830
 
     Personal Service and/or Expense and Equipment
 From General Revenue Reimbursements Fund. . . . . .                 373,348
 
 Total (Not to exceed 5.00  F.T.E.). . . . . . . . .$             25,106,397
 
  Section 10.120.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding general treatment services. . . . . . $    8,609,719
     Personal Service and/or Expense and Equipment .               4,192,366
 From General Revenue Fund . . . . . . . . . . . . .              12,802,085
 
 For general treatment services. . . . . . . . . . .              13,139,785
     Personal Service and/or Expense and Equipment .                 946,607
 From Federal Funds. . . . . . . . . . . . . . . . .              14,086,392
 
 Total (Not to exceed 59.40 F.T.E.). . . . . . . . .$             26,888,477
 
 Section 10.125.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding treatment of compulsive gambling. . . $      659,000
     Personal Service. . . . . . . . . . . . . . . .                  30,995
     Expense and Equipment . . . . . . . . . . . . .                   5,194
 From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.). . . . $      695,189
 
 Section 10.130.  To the Department of Mental Health
 For the Division of Alcohol and Drug Abuse
 For the purpose of funding the Substance Abuse Traffic Offender Program
 From Federal Funds. . . . . . . . . . . . . . . . .$                407,458
 From Health Initiatives Fund. . . . . . . . . . . .               1,365,680
 From Mental Health Earnings Fund. . . . . . . . . .               2,093,800    E
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$              3,866,938
 
 Section 10.205.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding division administration
     Personal Service. . . . . . . . . . . . . . . .$              2,174,037
     Expense and Equipment . . . . . . . . . . . . .                 539,205
 From General Revenue Fund . . . . . . . . . . . . .               2,713,242
 
     Personal Service. . . . . . . . . . . . . . . .                 393,898
     Expense and Equipment . . . . . . . . . . . . .                 302,401
 From Federal Funds. . . . . . . . . . . . . . . . .                 696,299
 
 For the purpose of funding mental health education
     Expense and Equipment
 From General Revenue Fund . . . . . . . . . . . . .                  20,000
     
 Total (Not to exceed 74.28 F.T.E.). . . . . . . . .$              3,429,541
 Section 10.210.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding adult community programs. . . . . . . $   53,862,188
     Personal Service and/or Expense and Equipment .              11,045,754
     Expense and Equipment . . . . . . . . . . . . .               2,107,002
 From General Revenue Fund . . . . . . . . . . . . .              67,014,944
 
 For adult community programs. . . . . . . . . . . .               5,155,164
     Personal Service and/or Expense and Equipment .                 465,243
     Expense and Equipment . . . . . . . . . . . . .                  29,034
 From Federal Funds. . . . . . . . . . . . . . . . .               5,649,441
 
 For adult  community programs
 From payments by the Department of Social Services for supported community
     living for Comprehensive Psychiatric Services clients in lieu of
     Supplemental Nursing Care payments
 From Mental Health Inter-Agency Payments Fund . . .                 500,000
 From Health Initiatives Fund. . . . . . . . . . . .                  20,147
 
 For adult community programs. . . . . . . . . . . .                 872,982
     Personal Service and/or Expense and Equipment .              11,334,750
 From General Revenue Reimbursements Fund. . . . . .              12,207,732
 
 For local mental health tax funds to be used for services provided through state
     facilities
     Personal Service and/or Expense and Equipment
 From Mental Health Trust Fund . . . . . . . . . . .                 908,149
 
 Total (Not to exceed 284.46  F.T.E.). . . . . . . .$             86,300,413
 
 Section 10.215.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding nursing home reform requirements of the Omnibus
     Budget Reconciliation Act of 1987, including specialized services
 From General Revenue Fund . . . . . . . . . . . . .$                 71,520
 From Federal Funds. . . . . . . . . . . . . . . . .                 214,559
 Total ( 0 F.T.E.) . . . . . . . . . . . . . . . . .$                286,079
 
 Section 10.220.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of reimbursing attorneys, physicians, and counties for fees in
     involuntary civil commitment procedures
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                950,000    
 
 Section 10.225.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding distribution through the Office of Administration for
     payments to counties pursuant to Section 56.700 RSMo
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                150,000
 
 Section 10.230.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding programs for the homeless mentally ill
 From General Revenue Fund . . . . . . . . . . . . .$                679,794
 
 For programs for the homeless mentally ill. . . . .               2,371,622
     Expense and Equipment . . . . . . . . . . . . .               1,554,680
 From Federal Funds. . . . . . . . . . . . . . . . .               3,926,302
 
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$              4,606,096
 
 Section 10.235.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding forensic support services
     Personal Service. . . . . . . . . . . . . . . .$                477,987
     Expense and Equipment . . . . . . . . . . . . .                 109,661
 From General Revenue Fund (Not to exceed 15.25 F.T.E.) . . . . . $      587,648
 
 Section 10.240.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding youth community programs. . . . . . . $   12,903,435
     Personal Service and/or Expense and Equipment .               1,847,687
 From General Revenue Fund . . . . . . . . . . . . .              14,751,122
 
 For youth community programs. . . . . . . . . . . .                 586,971
     Personal Service and/or Expense and Equipment .                 234,893
 From Federal Funds. . . . . . . . . . . . . . . . .                 821,864
 
 For youth community programs
 From Health Initiatives Fund. . . . . . . . . . . .                 754,360
 
 For youth community programs. . . . . . . . . . . .                 453,196
     Personal Service and/or Expense and Equipment .               1,186,369
     Expense and Equipment . . . . . . . . . . . . .               2,137,382
 From General Revenue Reimbursements Fund. . . . . .               3,776,947
 
 Total (Not to exceed 69.30 F.T.E.). . . . . . . . .$             20,104,293
 
 Section 10.245.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding services for children who are clients of the Divisions of Youth Services
     and Family Services . . . . . . . . . . . . . .$                238,050
     Personal Service and/or Expense and Equipment .                 776,334
 From Mental Health Inter-Agency Payments Fund
     (Not to exceed 12.00 F.T.E.). . . . . . . . . .$              1,014,384
 
 Section 10.260.  To the Department of Mental Health

 For the purpose of funding continued operation of state-operated community mental health centers
     and related activities and/or purchase of services in the event of privatization 
     Personal Service and/or Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              5,293,953
 
 Section 10.300.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding lease/purchase payments and related expenses
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              4,738,331
 
 Section 10.310.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding the resident training program
     Personal Service and/or Expense and Equipment
 From General Revenue Fund (Not to exceed 15.50 F.T.E.) . . . . . $      632,015
 
 Section 10.311.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding security staff
     Personal Service
 From General Revenue Fund (Not to exceed 16.00 F.T.E.) . . . . . $      283,584
 
 Section 10.315.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding fuel and utility expenses at state facilities operated by the Division of
     Comprehensive Psychiatric Services, provided that up to three percent of this appropriation
     may be used for facilities operated by the Division of Mental Retardation and Developmental
     Disabilities
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              5,283,690
 
 Section 10.316.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purchase and administration of new medication therapies
 From General Revenue Fund (0 F.T.E.). . . . . . . .$              2,938,659
 
 Section 10.320.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding services for clients referred by public or private
     entities under prepaid managed care or fee-for-service contracts,
     excluding interagency agreements with other state agencies
     Expense and Equipment
 From Mental Health Earnings Fund (0 F.T.E.) . . . .$              2,000,000    
 
 Section 10.321.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding costs of forensic clients resulting from loss of
     benefits under provisions of the Social Security Domestic Employment
     Reform Act of 1994
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                757,675
 
 Section 10.325.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Fulton State Hospital
     Personal Service. . . . . . . . . . . . . . . .$             30,884,568
     Personal Service and/or Expense and Equipment .                 955,193
     Expense and Equipment . . . . . . . . . . . . .               3,679,740
 From General Revenue Fund (Not to exceed 1,272.48 F.T.E.). . . . $   35,519,501
 
 Section 10.330.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Northwest Psychiatric Rehabilitation Center
     Personal Service. . . . . . . . . . . . . . . .$              9,272,399
     Personal Service and/or Expense and Equipment .                 286,775
     Expense and Equipment . . . . . . . . . . . . .               1,686,891
 From General Revenue Fund . . . . . . . . . . . . .              11,246,065
 
     Personal Service
 From General Revenue Reimbursements Fund. . . . . .                 391,749
 
 Total (Not to exceed 386.25 F.T.E.) . . . . . . . .$             11,637,814
 
 Section 10.335.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding St. Louis Psychiatric Rehabilitation Center
     Personal Service. . . . . . . . . . . . . . . .$             15,196,804
     Personal Service and/or Expense and Equipment .                 504,902
     Expense and Equipment . . . . . . . . . . . . .                 986,017
 
 For St. Louis Psychiatric Rehabilitation Center and/or the Metropolitan St.
     Louis Psychiatric Center
     Personal Service and/or Expense and Equipment .               2,368,623
 
 From General Revenue Fund . . . . . . . . . . . . .              19,056,346
 
     Personal Service
 From General Revenue Reimbursements Fund. . . . . .                 159,698
 
 Total (Not to exceed 644.99 F.T.E.) . . . . . . . .$             19,216,044
 
 Section 10.340.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Cottonwood Residential Treatment Center
     Personal Service. . . . . . . . . . . . . . . .$              1,626,589
     Personal Service and/or Expense and Equipment .                  50,307
     Expense and Equipment . . . . . . . . . . . . .                 324,415
 From General Revenue Fund (Not to exceed 78.00 F.T.E.) . . . . . $    2,001,311
 
 Section 10.345.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Hawthorn Children's Psychiatric Hospital
     Personal Service. . . . . . . . . . . . . . . .$              4,815,555
     Personal Service and/or Expense and Equipment .                 148,935
     Expense and Equipment . . . . . . . . . . . . .                 786,645
 From General Revenue Fund (Not to exceed 200.74 F.T.E.)  . . . . $    5,751,135
 
 Section 10.350.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding services for clients of Woodson Children's
     Psychiatric Hospital or Northwest Mo. Psychiatric Rehabilitation Center
     for children and youth inpatient services and/or contracting for children's
     services in the Northwest Region
     Personal Service and/or Expense and Equipment
 From General Revenue Fund (Not to exceed 149.06 F.T.E.). . . . . $    3,620,979
 
 Section 10.355.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Metropolitan St. Louis Psychiatric Center
     Personal Service. . . . . . . . . . . . . . . .$              8,330,618
     Personal Service and/or Expense and Equipment .                 636,084
     Expense and Equipment . . . . . . . . . . . . .               1,770,850
 From General Revenue Fund . . . . . . . . . . . . .              10,737,552
 
     Personal Service
 From General Revenue Reimbursements Fund. . . . . .                 142,686
 
 Total (Not to exceed 343.19 F.T.E.) . . . . . . . .$             10,880,238
 
 Section 10.360.   To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Mid-Missouri Mental Health Center
     Personal Service. . . . . . . . . . . . . . . .$              6,310,284
     Personal Service and/or Expense and Equipment .                 195,163
     Expense and Equipment . . . . . . . . . . . . .               1,269,146
 From General Revenue Fund . . . . . . . . . . . . .               7,774,593
 
     Personal Service. . . . . . . . . . . . . . . .                 253,200
     Expense and Equipment . . . . . . . . . . . . .                     760
 From General Revenue Reimbursements Fund. . . . . .                 253,960
 
 Total (Not to exceed 237.25 F.T.E.) . . . . . . . .$              8,028,553
 
 Section 10.365.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Southeast Missouri Mental Health Center
     Personal Service. . . . . . . . . . . . . . . .$             15,468,073
     Personal Service and/or Expense and Equipment .                 478,394
     Expense and Equipment . . . . . . . . . . . . .               1,188,558
 From General Revenue Fund (Not to exceed 622.02 F.T.E.). . . . . $   17,135,025
 
 Section 10.366.  To the Board of Public Buildings
 For the purpose of funding payment of rent by the Department of Mental Health
     to the Board for the Southeast Missouri Mental Health Center.  Funds to
     be used by the Board for operation and maintenance
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.). . . . . . . .$                129,322
 
 Section 10.370.  To the Department of Mental Health
 For the Division of Comprehensive Psychiatric Services
 For the purpose of funding Western Missouri Mental Health Center
     Personal Service. . . . . . . . . . . . . . . .$             16,021,407
     Personal Service and/or Expense and Equipment .                 520,552
     Expense and Equipment . . . . . . . . . . . . .               2,262,733
 
 For the Western Missouri Mental Health Center and/or contracting for
     children's services in the Northwest Region
     Personal Service and/or Expense and Equipment .                 893,208
 
 From General Revenue Fund (Not to exceed 683.44 F.T.E.). . . . . $   19,697,900
 
 Section 10.405.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding division administration
     Personal Service. . . . . . . . . . . . . . . .$              1,270,399
     Expense and Equipment . . . . . . . . . . . . .                 222,154
 From General Revenue Fund . . . . . . . . . . . . .               1,492,553
 
     Personal Service. . . . . . . . . . . . . . . .                  45,693
     Expense and Equipment . . . . . . . . . . . . .                   7,195
 From Federal Funds. . . . . . . . . . . . . . . . .                  52,888
 
 Total (Not to exceed 34.89 F.T.E.). . . . . . . . .$              1,545,441
 
   Section 10.410.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Early and Periodic Screening, Diagnostic and
     Treatment Program
     Personal Service. . . . . . . . . . . . . . . .$                136,175
     Expense and Equipment . . . . . . . . . . . . .                 200,220
 From General Revenue Fund . . . . . . . . . . . . .                 336,395
 
     Personal Service. . . . . . . . . . . . . . . .                  58,940
     Expense and Equipment . . . . . . . . . . . . .                 103,939
 From General Revenue Reimbursements Fund. . . . . .                 162,879
 
 Total (Not to exceed 6.00 F.T.E.) . . . . . . . . .$                499,274
 
 Section 10.415.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding community programs
 From General Revenue Fund . . . . . . . . . . . . .$             74,238,492
 From Federal Funds. . . . . . . . . . . . . . . . .                 313,755
 From General Revenue Reimbursements Fund. . . . . .              10,364,962
 
 For services for children in the custody of the Division of Family Services
 From Mental Health Inter-Agency Payments Fund . . .               1,019,278
 
 For SB 40 Board tax funds to be used as match for Medicaid initiatives for clients of the Division
 From Mental Health Trust Fund . . . . . . . . . . .               4,711,390
 
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$             90,647,877
 
 Section 10.420.  To the Department of Mental Health
 For the purpose of funding the Division of Mental Retardation-Developmental
     Disabilities
 For services for autistic clients . . . . . . . . .$              1,694,619
     Expense and Equipment . . . . . . . . . . . . .                   1,250
 From General Revenue Fund . . . . . . . . . . . . .               1,695,869
 
 For services for autistic clients
 From Federal Funds. . . . . . . . . . . . . . . . .                  76,767
 
 For services for autistic clients . . . . . . . . .               1,239,375
     Expense and Equipment . . . . . . . . . . . . .                  32,000
 From General Revenue Reimbursements Fund. . . . . .               1,271,375
 
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$              3,044,011
 
 Section 10.425.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding early childhood intervention services
 From General Revenue Fund . . . . . . . . . . . . .$              1,244,667
 From Federal Funds. . . . . . . . . . . . . . . . .               3,654,290
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$              4,898,957
 
 Section 10.430.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding family support  loans
 From Family Support Loan Fund . . . . . . . . . . .$                291,305
 
 For family support stipends
 From General Revenue Reimbursements Fund. . . . . .                 873,916
 
 Total (0 F.T.E.). . . . . . . . . . . . . . . . . .$              1,165,221
 
 Section 10.435.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding Community Support Staff
     Personal Service. . . . . . . . . . . . . . . .$              2,179,521
     Personal Service and/or Expense and Equipment .                 804,795
     Expense and Equipment . . . . . . . . . . . . .                 444,747
 From General Revenue Fund . . . . . . . . . . . . .               3,429,063
 
     Personal Service. . . . . . . . . . . . . . . .               3,908,056
     Expense and Equipment . . . . . . . . . . . . .                 598,260
     Personal Service, Expense and Equipment, purchase of services,
          and/or residential placements . . . . . .                3,306,557
 From General Revenue Reimbursements Fund . . . . .                7,812,873
 
 Total (Not to exceed 412.36 F.T.E.). . . . . . . . $             11,241,936
 
 Section 10.436.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Medicaid waivered group homes by habilitation
     centers
     Personal Service
 From General Revenue Fund. . . . . . . . . . . . . $                 46,894
 
     Personal Service and/or Expense and Equipment
 From General Revenue Reimbursements Fund . . . . .                2,413,994
 
 Total (Not to exceed 17.86 F.T.E.) . . . . . . . . $              2,460,888
 
 Section 10.440.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding nursing home reform requirements of the Omnibus
     Budget Reconciliation Act of 1987
     Personal Service
 From General Revenue Fund. . . . . . . . . . . . . $                130,851
 
     Personal Service and/or Expense and Equipment
 From Federal Funds . . . . . . . . . . . . . . . .                  437,363
 
 Total (Not to exceed 18.73 F.T.E.) . . . . . . . . $                568,214
 
 Section 10.445.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding developmental disabilities services
     Personal Service and/or Expense and Equipment
 From Federal Funds (Not to exceed 7.98 F.T.E.) . . $              1,475,829
 
 Section 10.500.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Albany Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,134,787
     Personal Service and/or Expense and Equipment.                   35,097
     Expense and Equipment. . . . . . . . . . . . .                  298,252
 From General Revenue Fund (Not to exceed 39.50 F.T.E.). . . . . .$    1,468,136
 
 Section 10.505.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Central Missouri Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,233,564
     Personal Service and/or Expense and Equipment.                   38,151
     Expense and Equipment. . . . . . . . . . . . .                  159,505
 From General Revenue Fund (Not to exceed 47.00 F.T.E.). . . . . .$    1,431,220
 
 Section 10.510.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Hannibal Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,511,042
     Personal Service and/or Expense and Equipment.                   46,733
     Expense and Equipment. . . . . . . . . . . . .                  342,742
 From General Revenue Fund (Not to exceed 57.25 F.T.E.). . . . . .$    1,900,517
 
 Section 10.515.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Joplin Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,464,135
     Personal Service and/or Expense and Equipment.                   46,377
     Expense and Equipment. . . . . . . . . . . . .                  386,892
 From General Revenue Fund (Not to exceed 54.68 F.T.E.). . . . . .$    1,897,404
 
 Section 10.520.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Kansas City Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              2,002,594
     Personal Service and/or Expense and Equipment.                   61,936
     Expense and Equipment. . . . . . . . . . . . .                  434,479
 From General Revenue Fund (Not to exceed  70.50 F.T.E.) . . . . .$    2,499,009
 
 Section 10.525.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Kirksville Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,097,659
     Personal Service and/or Expense and Equipment.                   33,948
     Expense and Equipment. . . . . . . . . . . . .                  258,327
 From General Revenue Fund (Not to exceed 41.41 F.T.E.). . . . . .$    1,389,934
 
 Section 10.530.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Poplar Bluff  Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,334,722
     Personal Service and/or Expense and Equipment.                   41,280
     Expense and Equipment. . . . . . . . . . . . .                  233,642
 From General Revenue Fund (Not to exceed 47.20 F.T.E.). . . . . .$    1,609,644
 
 Section 10.535.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Rolla Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,348,903
     Personal Service and/or Expense and Equipment.                   41,719
     Expense and Equipment. . . . . . . . . . . . .                  170,919
 From General Revenue Fund (Not to exceed 52.00 F.T.E.). . . . . .$    1,561,541
 
 Section 10.540.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Sikeston Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,223,530
     Personal Service and/or Expense and Equipment.                   37,841
     Expense and Equipment. . . . . . . . . . . . .                  229,469
 From General Revenue Fund (Not to exceed 45.64  F.T.E.) . . . . .$    1,490,840
 
 Section 10.545.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Springfield Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              1,607,839
     Personal Service and/or Expense and Equipment.                   49,727
     Expense and Equipment. . . . . . . . . . . . .                  380,986
 From General Revenue Fund (Not to exceed 60.50  F.T.E.) . . . . .$    2,038,552
 
 Section 10.550.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the St. Louis Regional Center 
     Personal Service . . . . . . . . . . . . . . . $              3,171,528
     Personal Service and/or Expense and Equipment.                   98,088
     Expense and Equipment. . . . . . . . . . . . .                  366,456
 From General Revenue Fund (Not to exceed 113.90 F.T.E.) . . . . .$    3,636,072
 
 Section 10.560.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding fuel and utility expenses at state facilities operated
     by the Division of Mental Retardation and Developmental Disabilities,
     provided that up to three percent of this appropriation may be used for
     facilities operated by the Division of Comprehensive Psychiatric
     Services
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.) . . . . . . . $              2,884,848
 
 Section 10.565.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding intensive staffing needs in habilitation centers
     Personal Service
 From General Revenue Fund. . . . . . . . . . . . . $                 55,581
 
     Personal Service . . . . . . . . . . . . . . .                1,625,683
     Expense and Equipment. . . . . . . . . . . . .                   22,380
 From General Revenue Reimbursements Fund . . . . .                1,648,063
 
 Total (Not to exceed 99.00 F.T.E.) . . . . . . . . $              1,703,644
 
 Section 10.570.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Bellefontaine Habilitation Center
     Personal Service . . . . . . . . . . . . . . . $             18,038,455
     Personal Service and/or Expense and Equipment.                  557,890
     Expense and Equipment. . . . . . . . . . . . .                1,661,470
 From General Revenue Fund. . . . . . . . . . . . .               20,257,815
 
     Personal Service
 From General Revenue Reimbursements Fund . . . . .                  329,612
 
 Total (Not to exceed 913.53 F.T.E.). . . . . . . . $             20,587,427
 
 Section 10.575.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Higginsville Habilitation Center
     Personal Service . . . . . . . . . . . . . . . $             10,282,166
     Personal Service and/or Expense and Equipment.                  318,005
     Expense and Equipment. . . . . . . . . . . . .                  694,025
 From General Revenue Fund (Not to exceed 507.69 F.T.E.) . . . . .$   11,294,196
 
 Section 10.580.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding the Marshall Habilitation Center
     Personal Service . . . . . . . . . . . . . . . $             17,370,054
     Personal Service and/or Expense and Equipment.                  537,218
     Expense and Equipment. . . . . . . . . . . . .                1,645,424
 From General Revenue Fund. . . . . . . . . . . . .               19,552,696
 
     Personal Service
 From General Revenue Reimbursements Fund . . . . .                  582,664
 
 Total (Not to exceed 905.58 F.T.E.). . . . . . . . $             20,135,360
 
 Section 10.585.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding Nevada Habilitation Center
     Personal Service . . . . . . . . . . . . . . . $              7,431,842
     Personal Service and/or Expense and Equipment.                  229,851
     Expense and Equipment. . . . . . . . . . . . .                1,840,300
 From General Revenue Fund (Not to exceed 348.58 F.T.E.) . . . . .$    9,501,993
 
 Section 10.590.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding St. Louis Developmental Disabilities Treatment
     Center
     Personal Service . . . . . . . . . . . . . . . $             13,789,181
     Personal Service and/or Expense and Equipment.                  426,470
     Expense and Equipment. . . . . . . . . . . . .                1,826,096
 From General Revenue Fund. . . . . . . . . . . . .               16,041,747
 
     Personal Service
 From General Revenue Reimbursements Fund . . . . .                  324,135
 
 Total (Not to exceed 706.95 F.T.E.). . . . . . . . $             16,365,882
 
 Section 10.591.  To the Board of Public Buildings
 For the purpose of funding the payment of rent by the Department of Mental
     Health to the Board for the St. Louis Developmental Disabilities
     Treatment Center Improvements.  Funds to be used by the Board for
     operation and maintenance
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.) . . . . . . . $                 84,861
 
 Section 10.595.  To the Department of Mental Health
 For the Division of Mental Retardation-Developmental Disabilities
 For the purpose of funding Southeast Missouri Residential Services
     Personal Service . . . . . . . . . . . . . . . $              4,439,143
     Personal Service and/or Expense and Equipment.                  137,293
     Expense and Equipment. . . . . . . . . . . . .                  738,681
 From General Revenue Fund (Not to exceed 238.18 F.T.E..). . . . .$    5,315,117
 
 Section 10.600.  To the Department of Health
 For the Office of the Director
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $                704,569
     Expense and Equipment. . . . . . . . . . . . .                  219,559
 From General Revenue Fund. . . . . . . . . . . . .                  924,128
     
     Personal Service . . . . . . . . . . . . . . .                  364,954
     Expense and Equipment. . . . . . . . . . . . .                   94,126
 From Federal Funds . . . . . . . . . . . . . . . .                  459,080
 
 Total (Not to exceed 31.90  F.T.E.). . . . . . . . $              1,383,208
 
 Section 10.605.  To the Department of Health
 For the Office of the Director
 For the purpose of funding Center for Health Information Management and
     Epidemiology
 For program operations and support
     Personal Service . . . . . . . . . . . . . . . $              2,111,497
     Expense and Equipment. . . . . . . . . . . . .                1,227,450
 From General Revenue Fund. . . . . . . . . . . . .                3,338,947
 
     Personal Service . . . . . . . . . . . . . . .                2,280,106
     Expense and Equipment. . . . . . . . . . . . .                2,611,889
 From Federal Funds . . . . . . . . . . . . . . . .                4,891,995
 
     Personal Service
 From Health Access Incentive Fund. . . . . . . . .                   72,175
 
     Personal Service . . . . . . . . . . . . . . .                  126,291
     Expense and Equipment. . . . . . . . . . . . .                  399,172
 From Missouri Public Health Services Fund. . . . .                  525,463
 
     Personal Service . . . . . . . . . . . . . . .                   54,185
     Expense and Equipment. . . . . . . . . . . . .                   27,697
 From Professional and Practical Nursing Student Loan and Nurse Loan
     Repayment Fund . . . . . . . . . . . . . . . .                   81,882
 
     Personal Service . . . . . . . . . . . . . . .                   95,680    
     Expense and Equipment. . . . . . . . . . . . .                   18,000
 From Workers' Compensation Fund. . . . . . . . . .                  113,680
 
     Expense and Equipment
 From Department of Health Donated Fund . . . . . .                  190,752
 
     Personal Service and/or Expense and Equipment
 From General Revenue Fund. . . . . . . . . . . . .                  100,000
 From Federal Funds . . . . . . . . . . . . . . . .                  100,000
 
 Total (Not to exceed 156.34 F.T.E.). . . . . . . . $              9,414,894    
 
 Section 10.607.  To the Department of Health
 For the Office of the Director 
 For the Center for Health Information Management and Epidemiology
 For the purpose of funding Primary Care Resource Initiative Program grants
     and related expenses
 From Health Access Incentive Fund. . . . . . . . . $              4,150,000
 From Department of Health Donated Fund . . . . . .                  850,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $              5,000,000
 
 Section 10.608.  To the Department of Health
 For the Office of the Director 
 For the Center for Health Information Management and Epidemiology
 For the purpose of funding Financial Aid to Medical Students Program or
     Medical School Loan Repayment Program in accordance with Section
     191 RSMo
 From General Revenue Fund. . . . . . . . . . . . . $                 13,950
 From Federal Funds . . . . . . . . . . . . . . . .                  214,446
 From Medical School Loan Repayment Fund. . . . . .                   50,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $                278,396    
 
 Section 10.609.  To the Department of Health
 For the Office of the Director 
 For the Center for Health Information Management and Epidemiology
 For the purpose of funding Nurse Loan or Nurse Loan Repayment programs in
     accordance with Section 335 RSMo
 From Federal Funds . . . . . . . . . . . . . . . . $                 60,000
 From Professional and Practical Nursing Student Loan and Nurse Loan
     Repayment Fund . . . . . . . . . . . . . . . .                  450,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $                510,000    
 
 Section 10.610.  To the Department of Health
 For the Office of the Director
 For the Center for Health Information Management and Epidemiology
 For the purpose of paying the fees of local registrars of vital records as provided
     in Section 193.305 RSMo
 From General Revenue (0 F.T.E.). . . . . . . . . . $                155,000
 
 Section 10.615.  To the Department of Health
 For the Office of the Director
 For the Center for Local Public Health Services
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $              1,765,023
     Expense and Equipment. . . . . . . . . . . . .                  226,451
 From General Revenue Fund. . . . . . . . . . . . .                1,991,474
 
     Personal Service . . . . . . . . . . . . . . .                  214,457
     Expense and Equipment. . . . . . . . . . . . .                   68,692
 From Federal Funds . . . . . . . . . . . . . . . .                  283,149
 
 For the Caring Communities Program
 From General Revenue Fund. . . . . . . . . . . . .                2,470,860
 From Federal Funds . . . . . . . . . . . . . . . .                1,218,333
 
 Total (Not to exceed 59.70 F.T.E.) . . . . . . . . $              5,963,816
 
 Section 10.617.  To the Department of Health
 For the Office of the Director
 For the Center for Local Public Health Services
 For the purpose of funding the Community Health and Resource Team 
     Personal Service . . . . . . . . . . . . . . . $                 78,843
     Expense and Equipment. . . . . . . . . . . . .                  218,334
 From General Revenue Fund. . . . . . . . . . . . .                  297,177
 
     Personal Service
 From Federal Funds . . . . . . . . . . . . . . . .                  118,453
 
 Total (Not to exceed 5.00 F.T.E.). . . . . . . . . $                415,630
 
 Section 10.619.  To the Department of Health
 For the Office of the Director
 For Center for Local Public Health Services
 For the purpose of funding core public health functions
     Expense and Equipment
 From General Revenue Fund (0 F.T.E.) . . . . . . . $              2,350,000
 
 Section 10.620.  To the Department of Health
 For the Office of the Director
 For the Center for Local Public Health Services
 For the purpose of funding cooperative agreements with local health agencies
     and related expenses
 From General Revenue Fund (0 F.T.E.) . . . . . . . $              5,764,406
 
 Section 10.625.  To the Department of Health
 For the Division of Administration
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $                884,954
     Expense and Equipment. . . . . . . . . . . . .                  314,395
 From General Revenue Fund. . . . . . . . . . . . .                1,199,349
 
     Personal Service . . . . . . . . . . . . . . .                  394,225
     Expense and Equipment. . . . . . . . . . . . .                1,355,279
 From Federal Funds . . . . . . . . . . . . . . . .                1,749,504
 
     Personal Service . . . . . . . . . . . . . . .                   42,024
     Expense and Equipment. . . . . . . . . . . . .                   31,000
 From Missouri Public Health Services Fund. . . . .                   73,024
 
     Expense and Equipment
 From Health Access Incentive Fund. . . . . . . . .                    7,000
 From Department of Health Document Services Fund .                  225,000
 From Workers' Compensation Fund. . . . . . . . . .                    8,000
 From Department of Health Donated Funds. . . . . .                  250,000
 
 For the use of federal grants which become available between sessions of the
     General Assembly
     Personal Service and/or Expense and Equipment
 From Federal Funds . . . . . . . . . . . . . . . .                        1    E
 
 Total (Not to exceed 48.00 F.T.E.) . . . . . . . . $              3,511,878
 
 Section 10.630.  To the Department of Health
 For the Division of Administration
 For the purpose of funding preventive health services under the provisions of the
     Preventive Health Services Block Grant
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $              2,383,826
 
 Section 10.635.  To the Department of Health
 For the Division of Administration
 For the purpose of funding the Hospital Subsidy Program
 From General Revenue Fund (0 F.T.E.) . . . . . . . $                422,280
 
 Section 10.640.  To the Department of Health
 For the Division of Administration
 For the purpose of funding the payment of refunds set-off against debts as
     required by Section 143.786 RSMo
 From Debt Offset Escrow Fund (0 F.T.E.). . . . . . $                250,000    E
 
 Section 10.645.  To the Department of Health
  For the Division of Administration
 For the purpose of funding Laboratory Services
     Personal Service . . . . . . . . . . . . . . . $              1,689,547
     Expense and Equipment. . . . . . . . . . . . .                  686,343
 From General Revenue Fund. . . . . . . . . . . . .                2,375,890
 
     Personal Service and/or Expense and Equipment
 From Federal Funds . . . . . . . . . . . . . . . .                2,772,352    E
 
     Personal Service . . . . . . . . . . . . . . .                  423,141
     Expense and Equipment. . . . . . . . . . . . .                  461,974
 From Missouri Public Health Services Fund. . . . .                  885,115
 
     Expense and Equipment
 From Department of Health Donated Funds. . . . . .                   59,852
 
 Total (Not to exceed 119.72 F.T.E.). . . . . . . . $              6,093,209
 
 Section 10.650.  To the Department of Health
 For the Office of the Director
 For the purpose of funding Strategic Public Health Interventions
     Personal Service and/or Expense and Equipment
 From General Revenue Fund. . . . . . . . . . . . . $                765,822
 From Federal Funds . . . . . . . . . . . . . . . .                 264,976 
 
 For the purpose of funding one (1) Research Analyst III (and related expense
     and equipment) to work in collaboration with the Department of
     Insurance toward the development of consumer guides
     Personal Service . . . . . . . . . . . . . . .                   29,952
     Expense and Equipment. . . . . . . . . . . . .                   14,697
 From General Revenue Fund. . . . . . . . . . . . .                  44,649 
 
 Total (Not to exceed 12.00 F.T.E.) . . . . . . . . $              1,075,447
 
 Section 10.655.  There is transferred out of the State Treasury, chargeable
     to the Health Initiatives Fund, Four Million, Three Hundred One
     Thousand, Five Hundred and Eighty-Nine Dollars ($4,301,589) to
     the Health Access Incentive Fund to fund items in Sections 10.605,
     10.607, 10.625 and 10.735
 From Health Initiatives Fund . . . . . . . . . . . $              4,301,589
  
 Section 10.660.  To the Department of Health
 For the purpose of funding the Missouri Health Facilities Review Committee
     Personal Service and/or Expense and Equipment
 From General Revenue Fund (Not to exceed 9.00 F.T.E.) . . . . . .$      311,715
 
 Section 10.665.  To the Department of Health
 For the Division of Environmental Health and Communicable Disease
     Prevention
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $              2,314,229
     Expense and Equipment. . . . . . . . . . . . .                2,660,401
 From General Revenue Fund. . . . . . . . . . . . .                4,974,630
 
     Personal Service . . . . . . . . . . . . . . .                2,527,865
     Expense and Equipment. . . . . . . . . . . . .                8,744,316
 From Federal Funds . . . . . . . . . . . . . . . .               11,272,181
 
     Personal Service . . . . . . . . . . . . . . .                  144,767
     Expense and Equipment. . . . . . . . . . . . .                   70,532
 From Hazardous Waste Remedial Fund . . . . . . . .                  215,299
 
     Personal Service . . . . . . . . . . . . . . .                   69,476
     Expense and Equipment. . . . . . . . . . . . .                  240,050
 From Missouri Public Health Services Fund. . . . .                  309,526
 
 Total (Not to exceed 180.59 F.T.E.). . . . . . . . $             16,771,636
 
 Section 10.667.  To the Department of Health
 For the Division of Environmental Health and Communicable Disease
     Prevention
 For the Bureau of HIV/AIDS Care and Prevention
 For the purpose of funding HIV/AIDS services and medications
     Personal Service . . . . . . . . . . . . . . . $                546,344
     Expense and Equipment. . . . . . . . . . . . .                  183,261
 From General Revenue Fund. . . . . . . . . . . . .                  729,605
 
     Personal Service . . . . . . . . . . . . . . .                  133,866
     Expense and Equipment. . . . . . . . . . . . .                1,333,309
 From Federal Funds . . . . . . . . . . . . . . . .                1,467,175
 
 For the purpose of transitioning from state-provided to community provided
     HIV/AIDS services
     Personal Service and/or Expense and Equipment (total staffing shall not
     exceed 16 F.T.E.)
 From General Revenue Fund. . . . . . . . . . . . .                  323,876
 From Federal Funds . . . . . . . . . . . . . . . .                  484,596
 
 For the purpose of funding additional medications
 From General Revenue Fund. . . . . . . . . . . . .                  600,000
 
 For funding local health departments and community providers for HIV/AIDS
     services
 From General Revenue Fund. . . . . . . . . . . . .                  139,106
 From Federal Funds . . . . . . . . . . . . . . . .                4,309,929
 
 Total (Not to exceed 38.00 F.T.E.) . . . . . . . . $              8,054,287
 
 Section 10.669.  To the Department of Health
 For the Division of Environmental Health and Communicable Disease
     Prevention
 For the Bureau of HIV/AIDS Care and Prevention
 For the purpose of funding HIV/AIDS prevention activities
     Personal Service . . . . . . . . . . . . . . . $                 48,806
     Expense and Equipment. . . . . . . . . . . . .                  102,828
 From General Revenue Fund. . . . . . . . . . . . .                  151,634
 
     Personal Service . . . . . . . . . . . . . . .                  323,942
     Expense and Equipment. . . . . . . . . . . . .                  327,230
 From Federal Funds . . . . . . . . . . . . . . . .                  651,172
 
 For the purpose of funding contracts for prevention services
 From General Revenue Fund. . . . . . . . . . . . .                  126,775
 From Federal Funds . . . . . . . . . . . . . . . .                1,813,509
 
 Total (Not to exceed 13.60 F.T.E.) . . . . . . . . $              2,743,090
 
 Section 10.670.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $              2,008,897
     Expense and Equipment. . . . . . . . . . . . .                  943,156
 From General Revenue Fund. . . . . . . . . . . . .                2,952,053
 
     Personal Service . . . . . . . . . . . . . . .                4,024,185
     Expense and Equipment. . . . . . . . . . . . .                5,740,032
 From Federal Funds . . . . . . . . . . . . . . . .                9,764,217
 
     Personal Service
 From Health Initiatives Fund . . . . . . . . . . .                   32,750
 
     Expense and Equipment
 From Department of Health Donated Fund . . . . . .                  396,000
 From Missouri Public Health Services Fund. . . . .                  731,500
 
 For the purpose of funding community based service coordination and related
     expenses
     Personal Service and/or Expense and Equipment
 From General Revenue Fund. . . . . . . . . . . . .                1,092,090
 From Federal Funds . . . . . . . . . . . . . . . .                  844,584
 
 Total (Not to exceed 281.19 F.T.E.). . . . . . . . $             15,813,194
 
 Section 10.672.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding maternal and child health services, including rape
     medical examinations, Sudden Infant Death Syndrome (SIDS) payments,
     and maternal and child health services from sources other than the
     Maternal and Child Health Block Grant
 From General Revenue Fund. . . . . . . . . . . . . $                639,018
 From Department of Health Donated Fund . . . . . .                  500,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $              1,139,018    
 
 Section 10.680.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding maternal and child health services under the
     provisions of the Maternal and Child Health Block Grant
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $              6,679,206
 
 Section 10.685.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding family planning services, provided that none of the
     funds may be expended for the purpose of performing, assisting or
     encouraging an abortion pursuant to section 188.205, RSMo, and further
     provided that none of the funds may be expended to subsidize abortion
     services or administrative expenses, as verified by independent audit
 From General Revenue Funds . . . . . . . . . . . . $              4,354,639
 From Federal Funds . . . . . . . . . . . . . . . .                1,464,819
 
 For funding to local public health agencies, rural health clinics, physicians
     offices and hospitals to provide pregnancy testing and follow-up services
 From General Revenue Fund. . . . . . . . . . . . .                  664,000
 
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $              6,483,458
 
 Section 10.690.  To the Department of Health
 For the Division of Maternal, Child and Family Health
 For the purpose of funding to local health departments and hospitals to provide
     alternatives to abortion services (such as prenatal care, medical care,
     alternative housing, alternative schooling, adoption assistance, job
     training and placement, domestic abuse protection or transportation) for
     women during their pregnancy and post-pregnancy, excluding any
     service under the scope of Section 10.685 and excluding any service not
     consistent with the requirements of Sections 188.200 to 188.220, RSMo
 From General Revenue Fund. . . . . . . . . . . . . $                900,000
 
 Section 10.695.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding school health grants and related expenses
 From Health Initiatives Fund (0 F.T.E.). . . . . . $              5,368,764
 
 Section 10.700.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding Children with Special Health Care Needs
 From General Revenue Fund. . . . . . . . . . . . . $              2,315,704
 From Federal Funds . . . . . . . . . . . . . . . .                8,026,718
 From Crippled Children's Service Fund. . . . . . .                  275,000
 From Smith Memorial Endowment Fund . . . . . . . .                   35,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $             10,652,422
 
 Section 10.705.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
  For the purpose of funding Head Injury community rehabilitation and support
     services
 From General Revenue Fund. . . . . . . . . . . . . $                782,993
 From Federal or Other Funds. . . . . . . . . . . .                  250,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $              1,032,993
 
 Section 10.710.  To the Department of Health
  For the Division of Maternal, Child and Family Health 
 For the purpose of funding Women, Infants and Children (WIC) Supplemental
     Nutrition program distributions
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $             90,000,000
 
 Section 10.715.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding the Child and Adult Care Food program
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $             33,000,000
 
 Section 10.720.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding Summer Food Service Program
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $              4,500,585
 
 Section 10.725.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For the purpose of funding genetic services
 From General Revenue Fund. . . . . . . . . . . . . $              1,937,905
 From Federal Funds . . . . . . . . . . . . . . . .                  260,000
 Total (0 F.T.E.) . . . . . . . . . . . . . . . . . $              2,197,905
 
 Section 10.730.  To the Department of Health
 For the Division of Maternal, Child and Family Health 
 For activities to improve the quality of child care, increase the availability of
     early childhood development programs and before-and after-school care
     services and for general administration of the program under the
     provisions of the Child Care and Development Block Grant
 From Federal Funds (0 F.T.E.). . . . . . . . . . . $              5,716,339
 
 Section 10.735.  To the Department of Health
 For the Division of Health Standards and Licensure
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $              1,976,244
     Expense and Equipment. . . . . . . . . . . . .                  151,627
 From General Revenue Fund. . . . . . . . . . . . .                2,127,871
 
     Personal Service . . . . . . . . . . . . . . .                1,494,198
     Expense and Equipment. . . . . . . . . . . . .                  294,567
 From Federal Funds . . . . . . . . . . . . . . . .                1,788,765
 
     Personal Service . . . . . . . . . . . . . . .                   26,544
     Expense and Equipment. . . . . . . . . . . . .                   13,197
 From Federal Drug Seizure Fund . . . . . . . . . .                   39,741
 
     Personal Service . . . . . . . . . . . . . . .                   58,764
     Expense and Equipment. . . . . . . . . . . . .                   13,650
 From Health Access Incentive Fund. . . . . . . . .                   72,414
 
     Personal Service . . . . . . . . . . . . . . .                   47,738
     Expense and Equipment. . . . . . . . . . . . .                   13,200
 From Mammography Fund. . . . . . . . . . . . . . .                   60,938
     
 For the purpose of funding Environmental health and safety inspections and
     related services
     Personal Service and/or Expense and Equipment
 From General Revenue Fund. . . . . . . . . . . . .                3,020,534
 From Federal Funds . . . . . . . . . . . . . . . .                2,034,549
 From Missouri Public Health Services Fund. . . . .                   90,089
 
 Total (Not to exceed 231.01 F.T.E.). . . . . . . . $              9,234,901
 
 Section 10.740.  To the Department of Health
 For the Division of Chronic Disease Prevention and Health Promotion
 For the purpose of funding program operations and support
     Personal Service . . . . . . . . . . . . . . . $                653,011
     Expense and Equipment. . . . . . . . . . . . .                1,154,698
 From General Revenue Fund. . . . . . . . . . . . .                1,807,709
 
     Personal Service . . . . . . . . . . . . . . .                1,859,076
     Expense and Equipment. . . . . . . . . . . . .                5,449,897
 From Federal Funds . . . . . . . . . . . . . . . .                7,308,973
 
     Expense and Equipment
 From Department of Health Donated Fund . . . . . .                  100,000
 
     Expense and Equipment
 From Organ Donation Fund . . . . . . . . . . . . .                  327,381
 
 Total (Not to exceed 92.50 F.T.E.) . . . . . . . . $              9,544,063
 
 Section 10.745.  To the Department of Health
 For the Division of Chronic Disease Prevention and Health Promotion
 For the purpose of funding the Missouri Arthritis Program
 From General Revenue Fund (0 F.T.E.) . . . . . . . $                156,849
 
 
 BILL TOTAL
 General Revenue Fund . . . . . . . . . . . . . . . $            524,759,675              
 Federal Funds. . . . . . . . . . . . . . . . . . .              258,559,603         
 Other Funds                                         . . . . . . .85,240,298
 Total                                               . . . . . . .$  868,559,576