MissouriHB142025 Regular SessionHouseWALLET

Appropriates money for supplemental purposes

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Bill Overview

Analyzed Economic Effects

57 provisions identified: 38 benefits, 10 costs, 9 mixed.

Funding protects services for developmental disabilities

The law provides $143.64 million for community programs and related services for people with developmental disabilities. Spending on non-Medicaid residential services cannot fall below prior-year spending while the person is evaluated as needing those services. The law funds services rather than setting individual cash payments.

Scholarship ban for students without lawful status

The law bars Part 1 scholarship money from supporting students with unlawful immigration status in the United States. The restriction applies to those appropriated funds, not every possible source of scholarship aid.

Funding for community mental health treatment

The law provides $164.82 million for psychiatric rehabilitation, substance-use treatment, behavioral health case management, and community behavioral health organization services. These services support MO HealthNet participants or uninsured people. A separate $101.1 million funds physician and related services from certified community behavioral health organizations. Applied behavior analysis services must be included in those organizations' prospective payment system. The money pays for services rather than direct cash benefits to patients.

Medicaid funding supports hospitals and treatment

The law provides $824.12 million for Medicaid-related program distributions. This includes $32.19 million in supplemental payments for Tier 1 Safety Net Hospitals or affiliated physician groups, requiring federal approval. It also includes $148 million for specified behavioral health services for MO HealthNet participants and uninsured people. Covered services include psychiatric rehabilitation, substance-use treatment, behavioral health case management, and community behavioral health organization services.

Summer grocery benefits receive funding for kids

The law provides $103 million in federal money for Missouri SuN Bucks summer food benefits. The money funds benefit payments through the Summer Electronic Benefit Transfer program. This appropriation does not state eligibility thresholds or the amount each child receives.

College aid funding for Missouri students

The law transfers $6 million into the Access Missouri Financial Assistance Fund. It authorizes $7.4 million from that fund for student aid through June 30, 2025. Students must qualify under the existing Access Missouri program; the law does not set each student's award.

Funding for children's learning and special education

The law provides $14.71 million for school districts' excess special education costs through June 30, 2025. It also provides $20.79 million for early childhood special education and $537,043 for Missouri's early childhood system. These funds support services for children, rather than setting payments to individual families.

Funding supports children with developmental needs

The law provides $16.527 million for First Steps early intervention services through June 30, 2025. That includes $15.209 million from General Revenue and $1.318 million in federal money. It also provides $26.787 million in federal money for Missouri's Special Education Program through the same date. These appropriations support services, not individual cash payments, and do not change special education eligibility.

Overtime and injury benefits for state workers

The law provides $29.03 million for state employee overtime pay. Nonexempt employees identified in Section 105.935 are paid first; remaining money can cover other state employees' overtime. Another $3.4 million funds state workers' compensation benefits and related legal and administrative costs through June 30, 2025. That coverage runs through state self-insurance, a private insurer, or both.

Money for tax overpayment refunds

The law provides $69.6 million for Department of Revenue refunds through June 30, 2025. This covers tax overpayments, mistaken tax payments, and other payments credited to the General Revenue Fund. The law does not set each refund amount.

Funding for water infrastructure projects

The law provides about $144.87 million for water infrastructure grants and loans through June 30, 2025. The money comes from the Water and Wastewater Loan Revolving Fund. It supports infrastructure projects, not direct household payments. The provision does not set loan terms.

State money supports mental health payments

The law transfers $54.794 million from General Revenue to the Social Services Intergovernmental Transfer Fund for mental health payment matching. It also transfers $60.543 million from the Mental Health Federal Fund to General Revenue for the state match. Separately, it provides $5,000 from the Mental Health Federal Stimulus Fund for refunds. These provisions do not set individual benefit or refund amounts.

Children's coverage funding with family premium limits

The law funds uninsured children's coverage with $106.02 million and Show-Me Healthy Babies with $20.43 million. Family premium rates are 0% through 150% of the federal poverty level and 4% above 150% through 185%. Rates are 8% above 185% through 225%, and 14% above 225% through 300%. Premiums cannot exceed 5% of total income, and families above 300% of poverty are ineligible for the children's coverage. The law allows 10% funding flexibility between the programs.

Family planning aid has eligibility limits

The law provides $545,028 for family planning, pregnancy testing, sexually transmitted disease testing and treatment, and follow-up care. Services are limited to uninsured women who are legal Missouri residents ages 18 through 55. Household Modified Adjusted Gross Income cannot exceed 201% of the federal poverty level. Funds cannot support non-hospital abortion providers or their affiliates. Restrictions also cover specified abortion procedures, referrals, encouragement, and products, except when needed to save the mother's life.

Medicaid home care funding with payment limits

The law provides $49.9 million for consumer-directed personal care and $45.23 million for home and community services. Consumer-directed care payments cannot exceed 60% of the average monthly Medicaid cost of nursing facility care. Eligible Medicaid Personal Care Option participants must be allowed to choose the option that best meets their assessed unmet needs. Funds follow that choice only as needed to meet those needs, without creating benefits beyond those established by statute. The law allows 10% funding flexibility between the two appropriations.

Youth treatment funding includes daily payment caps

The law provides $47.488 million for youth psychiatric services and community programs from state, mental health federal, and children's insurance funds. It also provides $6.629 million for children's room and board in designated Qualified Residential Treatment Program facilities. Daily payment caps are $194.47 for Level II, $239.16 for Level III, and $253.80 for Level IV. Court-ordered residential treatment placements are covered even when an independent assessor did not recommend them. These are service payments, not cash benefits for families.

Childcare scholarship funding excludes new awards

The law provides $700,000 for Early Childhood Missouri Scholarships through June 30, 2025. None of this appropriation can fund new scholarships. The restriction does not state that existing scholarships end.

Workforce grants funded with private-school caps

The law provides $550,000 for Fast Track Workforce Incentive Grants through June 30, 2025. Private four-year school grants cannot exceed University of Missouri-Columbia in-state tuition and fees. Private two-year school grants cannot exceed the most comparable public program's in-state tuition, fees, and charges. That comparison uses a Missouri public community college or the State Technical College of Missouri.

Public schools get funding with formula cap

The law provides $157.443 million for public school distributions through June 30, 2025. This includes $142.443 million for the Foundation Formula and $15 million for the Small Schools Program. The formula's State Adequacy Target cannot exceed $6,760 per pupil. The money cannot support sharing identifiable student data for noneducational purposes, marketing, or advertising.

Quarterly trust-money reports for children's families

The Department of Social Services must report every three months on Alternative Care Trust Fund money received for a child. Reports go to the child's parents and guardian ad litem, the child's court-appointed legal representative. Children age 15 or older also receive reports. This rule does not change benefit amounts.

Refund funding for over-collected state receipts

The law sets aside $552,960 to repay over-collected amounts and incorrectly deposited receipts. Only people or entities owed a refund or repayment can receive this money. The law does not set individual refund amounts.

Community care grants support older adults

The law provides $14 million in federal money for Home and Community Services grants through Area Agencies on Aging. The money supports services delivered through those agencies. This appropriation does not set individual eligibility, benefit amounts, or a distribution date.

Veterans health and care receive funding

The law transfers $11.682 million from the Veterans, Health, and Community Reinvestment Fund to the Veterans Reinvestment Fund. The money supports veterans' health and care services. Investment earnings stay in the fund. Money left after a two-year budget period also stays there instead of returning to General Revenue. The provision does not set an individual veteran's benefit amount.

Education agencies receive money for refunds

The law provides $2.44 million in federal money for refunds administered by the Department of Elementary and Secondary Education. It also funds qualifying debt-offset refunds: $2,000 at State Technical College of Missouri and $100,000 at University of Central Missouri. Missouri State University receives $50,000 for those refunds. The college refunds must meet the state's debt-offset refund law. These appropriations run through June 30, 2025, and do not state individual refund amounts.

Job support funding for people with disabilities

The law provides $15.53 million for Missouri's Vocational Rehabilitation Program through June 30, 2025. The money supports program services for people with disabilities. It does not change eligibility rules or set an individual benefit amount.

Business program funding for blind people

The law provides $1.5 million from the Department of Social Services Federal Fund for business enterprise programs for blind people. The provision does not set individual payments or eligibility rules.

Equipment funding for state highway patrol

The law provides $89,116 for State Highway Patrol equipment and expenses. The money comes from the State Highways and Transportation Department Fund.

Funding for arts and public broadcasting

The law provides $3 million from the Missouri Arts Council Trust Fund for the Missouri State Council on the Arts. It also provides $250,000 from the Missouri Public Broadcasting Corporation Special Fund for public television and radio station grants.

Funding for officers' immigration enforcement training

The law provides $250,000 for law enforcement training related to immigration enforcement through June 30, 2025. The Department of Public Safety must use the money for training consistent with 8 U.S.C. Section 1357(g). This appropriation does not itself create new duties for individuals.

Funding for prison operations and county reimbursements

The law provides $3.9 million for corrections safety equipment and services, plus $242,432 for toxicology testing. It also provides $6 million from the Working Capital Revolving Fund for Missouri Correctional Enterprises. Counties receive $30,000 for qualifying correctional prosecution reimbursements through June 30, 2025. These appropriations fund operations and county costs, not household payments.

Public flight plans for elected officials

Part 1 funds can support state-aircraft flights carrying elected officials only when their flight plans are publicly available. The plans must appear through a global aviation data service offering free private and commercial aircraft tracking. The service must have both a website and mobile app.

Addiction treatment and overdose grants receive funding

The law provides $6.770 million for alcohol and drug treatment and $856,000 for grants to local governments affected by opioids. It transfers $11.682 million to the Health Reinvestment Fund and authorizes that amount for addiction and overdose service grants. These grants support evidence-based, low-barrier treatment, overdose prevention and reversal, education, job placement, housing, and counseling. Applicants serving populations with the highest drug-overdose rates receive priority. Investment earnings and money left after each two-year budget period stay in the Health Reinvestment Fund.

Disability decision services receive operating funds

The law provides $3.344 million from the Vocational Rehabilitation Fund for Missouri's Disability Determination Program through June 30, 2025. The money funds program operations. It does not change eligibility standards or state how any person's decision or benefits are affected.

Funding builds 200-bed mental health hospital

The law provides $48.16 million from the Federal Earnings Fund to construct a 200-bed mental health hospital. The project must involve a non-state public acute care hospital operating inpatient behavioral health beds in a state-owned facility. This funds construction, not immediate access to an individual hospital bed.

Funding supports disease prevention in communities

The law provides $2.668 million for communicable disease control and prevention. Another $492,928 funds COVID-19 testing, vaccinations, reporting, and public health workers. It provides $166,143 for community health and wellness and $225,000 for environmental public health. Health data and disease tracking receive $125,000, while local public health agency support receives $79,976. The funding supports public health services, not individual cash payments.

Funding supports state psychiatric treatment centers

The law provides $575,615 for Fulton State Hospital and $652,547 for the Northwest Missouri Psychiatric Rehabilitation Center. It provides $554,724 for the Forensic Treatment Center and $343,258 for the Southeast Missouri Mental Health Center. The Center for Behavioral Medicine receives $94,656. These amounts fund facility expenses and equipment. A separate $32,715 supports adult psychiatric services.

Health care funding for people in prison

The law provides $20.639 million for contracted physical and mental health care for people in Missouri corrections custody. It also provides $1.968 million for substance use treatment and recovery services. That includes $733,850 from General Revenue and $1.234 million from the Opioid Addiction Treatment and Recovery Fund. These appropriations cover the fiscal year ending June 30, 2025, and do not set individual payments.

Reimbursements for involuntary civil commitment proceedings

The law provides $873,077 to reimburse attorneys, physicians, and counties for fees tied to involuntary civil commitment proceedings. This money goes to providers and local governments. It does not create a general household payment or impose a new personal payment duty.

Schools receive classroom and learning funds

The law provides $5.8 million for Comprehensive Literacy Development and $6.097 million for Supporting Effective Instruction grants. Language acquisition programs receive $263,934. State Board of Education-operated programs receive $3 million for expenses and equipment. The Healthy Schools, Successful Students Program receives $65,975. All these amounts are federal funding for the fiscal period ending June 30, 2025.

Students and adults get training support

The law provides $2.701 million in federal money to career and technical education providers through June 30, 2025. Adult Basic Education providers receive $1.554 million in federal money through the same date. Another $330,500 in federal welfare funds supports a nonprofit in a Missouri county with more than one million residents. That nonprofit provides youth and families with mentoring, college preparation, workforce development, and character preparation, virtually or in person. These are provider funds, not individual awards.

Funding for Missouri downtown preservation projects

The law provides $215,000 for the Downtown Revitalization Preservation Program through June 30, 2025. The money comes from the Downtown Revitalization Preservation Fund. The appropriation does not specify individual awards or household payments.

Funding for state buildings and maintenance

The law provides about $1.87 million in general revenue for Office of Administration building costs. Covered costs include leases, utilities, furniture, structural changes, and related equipment and expenses. It also transfers about $3.66 million in general revenue to the Facilities Maintenance Reserve Fund.

Funding for income assistance field offices

The law provides $6.59 million for Family Support Division income maintenance field staff and operations. This includes $2.82 million in general revenue and $3.77 million in federal funds. The money supports program administration without changing benefit amounts or eligibility.

Funding for Medicaid systems and collections

The law provides $30.97 million to operate Missouri's Medicaid information system. It also provides $6 million for third-party collections, revenue collection efforts, and cost-avoidance fees. These appropriations support program operations, not direct household payments.

Building loans for charter schools

The law moves $2 million from general revenue into the Charter School Revolving Capital Improvement Fund. It authorizes lending that $2 million to new and existing charter schools through June 30, 2025. Loans support capital improvements and acquisitions. The provision does not set loan terms.

State shifts nursing loan program funds

The law transfers $530,636 from the nursing student loan and nurse loan repayment fund to the State Board of Nursing Fund. This moves money within the state's nursing loan funding structure. It does not set individual awards, eligibility rules, or repayment terms.

Advance notice for state land purchases

The Department of Natural Resources must give lawmakers written notice at least 60 days before buying land with Section 14.225 funds. Without that notice, the department cannot use those funds for the purchase.

Limits on state environmental rule enforcement

The Department of Natural Resources cannot use Section 14.225 funds to implement or enforce the 2015 federal WOTUS water rule without legislative approval. The law also bars those funds from implementing or enforcing federal carbon pollution guidelines for existing electric utility generating units. These restrictions govern agency spending, not household duties.

Private-land trail repairs face funding limits

Section 14.225 funds cannot pay for work on private land along the Missouri Rock Island Trail Corridor from Windsor to Beaufort. The ban covers maintenance, rehabilitation, restoration, and repairs. It applies inside and outside city, town, or village limits.

College funding tied to immigration tuition rules

Public colleges cannot spend Part 1 funds if they charge students with unlawful immigration status less than international students. This restriction ties access to the appropriation to the college's tuition policy. It does not directly set tuition; any student price change depends on the college's response.

Limits on constitutional program spending

Part 1 funds cannot pay for program distributions tied to Article IV, Section 36(c) of the Missouri Constitution. Spending under Section 14.570 is exempt from this ban. The provision does not name affected recipients or specify a dollar amount.

Medicaid doctor and laboratory payment limits

Covered MO HealthNet physician payments generally cannot exceed January 1, 2024 rates. Community behavioral health organization rates cannot exceed approved Department of Mental Health rates; autism rates use that department's January 1, 2024 ceiling. Independent laboratory payments cannot exceed 90% of the 2023 Medicare allowed rate. Ophthalmologist payments cannot exceed 85% of that rate. These limits do not set patient charges.

Payment caps for children's residential treatment

Covered provider payments generally cannot exceed January 1, 2024 rates, except for cost-based and actuarially sound substance-use treatment rate changes. Children's qualified residential treatment payments are capped at $194.47 daily for Level II. Daily caps are $239.16 for Level III and $253.80 for Level IV. These caps apply whether or not the qualified program is classified as an institution for mental diseases, including payments under Section 14.540.

Payment caps for home nursing providers

Covered home care provider rates generally cannot exceed their January 1, 2024 levels. Private duty nursing payments cannot exceed $15.20 per 15-minute service unit. Reassessments are capped at $100 each, except for providers enrolled in the Value Based Purchasing Reassessment Program. These are provider payment limits, not charges households must pay.

Payment limits for behavioral health providers

Covered behavioral health provider payments generally cannot exceed January 1, 2024 rates. Certified community clinics' Medicare Economic Index increases cannot exceed 2.86% above that baseline, except for revenue-maximization efforts. Recovery support caps are $34.46 for individual counseling, $44.57 for recovery housing, and $12.60 for care coordination. Peer support is capped at $22.15 and group rehabilitative support at $4.08. These limits govern provider payments, not direct patient charges.

School testing funded with spending limits

The law provides about $3.06 million for Missouri's Performance Based Assessment Program through June 30, 2025. This money cannot support sharing identifiable student data with the federal government, except for specified reports. Exceptions cover Migrant Education, Vocational Rehabilitation, and Disability Determination reporting. The money also cannot pay Smarter Balanced Assessment Consortium license fees or membership dues.

Childcare startup grant requires an equal match

The law provides $2.2 million for a narrowly defined childcare startup program through June 30, 2025. The program must be in a city with more than 27,000 but fewer than 30,000 residents. It must be associated with a nonprofit law enforcement group in a city with more than 8,000 but fewer than 9,000 residents. Both cities must be in counties with more than one million residents. Grant recipients must provide an equal, 50/50 match.

Sponsors & Cosponsors

Sponsor

Deaton, Dirk (159)
Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 205 • No: 10

Senate vote • 3/12/2025

Truly Agreed To and Finally Passed

Yes: 26 • No: 8

House vote • 3/5/2025

Third Read and Passed

Yes: 150 • No: 2

House vote • 2/27/2025

HCS Reported Do Pass

Yes: 29 • No: 0

Actions Timeline

Delivered to Secretary of State (G)
3/18/2025House
Approved by Governor (G)
3/18/2025House
Delivered to Governor
3/13/2025House
Signed by President Pro Tem
3/13/2025Senate
Signed by House Speaker
3/13/2025House
Senate Message
3/12/2025Senate
Truly Agreed To and Finally Passed - AYES: 26 NOES: 8 PRESENT: 0
3/12/2025Senate
Taken Up for Third Reading
3/12/2025Senate
Reported Do Pass
3/11/2025Senate
Voted Do Pass
3/11/2025Senate
Executive Session Held
3/11/2025Senate
Public Hearing Held
3/11/2025Senate
Public Hearing Scheduled - Tuesday, March 11, 2025, 8:30 a.m., Senate Committee Room 2.
3/6/2025Senate
Second read and referred: Appropriations
3/6/2025Senate
Reported to the Senate and First Read
3/5/2025Senate
Third Read and Passed - AYES: 150 NOES: 2 PRESENT: 0
3/5/2025House
Taken Up for Third Reading
3/5/2025House
Perfected with Amendments - HA 1, HA 2, adopted.
3/3/2025House
HCS Adopted
3/3/2025House
Title of Bill - Agreed To
3/3/2025House
Taken Up for Perfection
3/3/2025House
HCS Reported Do Pass - AYES: 29 NOES: 0 PRESENT: 0
2/27/2025House
HCS Voted Do Pass
2/27/2025House
Executive Session Completed
2/27/2025House
Public Hearing Completed
2/20/2025House

Bill Text

Truly Agreed
3/12/2025
PDF
Perfected
3/3/2025
PDF
Committee Substitute
2/27/2025
PDF
Introduced
2/13/2025
PDF

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