# Missouri HB2011: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services Missouri HB2011, Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services, is a 2026 Regular Session House bill sponsored by Deaton, Dirk (159); status signed, last action 2026-06-30 (Delivered to Secretary of State (G)); PRIA reads it as touching household money (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/MO-HB2011-2026 - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Missouri HB2011 - State: Missouri - Session: 2026 Regular Session - Title: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services - Status: signed - Chamber: House - Introduced: 2026-01-22 - Last action: 2026-06-30, Delivered to Secretary of State (G) - Sponsor: Deaton, Dirk (159) - Cosponsors: 0 - Touches household money: yes - Roll calls: 7 (499 yes, 69 no in all) - Economic provisions PRIA read: 111 ## Summary No summary available. ## Bill overview: provisions PRIA read - Hospital funding includes psychiatric coverage request: benefit, high. For fiscal year 2027, Missouri provides $555.31 million for Medicaid hospital care, medical training, chronic-care management, psychiatric rate increases, and safety-net payments. Another $1.03 billion funds hospital payments, a required independent disproportionate-share payment audit, statewide h… - Long-term care funded for Medicaid residents: benefit, high. For fiscal year 2027, Missouri provides $1.21 billion for Medicaid nursing-facility care, quality-of-life work, provider incentives, and elderly home health. A separate $372.98 million funds Nursing Facility Reimbursement Allowance payments. The Money Follows the Person program receives $1.53 milli… - Medicaid health plans and insurance funded: benefit, high. For fiscal year 2027, Missouri provides $2.93 billion for prepaid health plans and authorized frail-elderly waiver programs. Specialty plans and authorized frail-elderly waiver programs receive a separate $472.35 million. These budgets also fund public ground ambulance services for covered people u… - Medicaid medicines and routine care funded: benefit, high. For fiscal year 2027, Missouri provides $1.32 billion for fee-for-service Medicaid medicines, pharmacist fees, and chronic-care management. Another $622.99 million funds doctors, clinics, telemedicine, lab tests, x-rays, family planning, and related care. That funding also covers asthma care, diabe… - Funding for crime victims and shelters: benefit, medium. The law provides about $42.86 million in nonprofit grants for crime victim services. This includes a one-time $9 million from the Missouri State Capitol Commission Capitol Preservation Fund. It also provides about $10.16 million for domestic violence services, including emergency shelters, and $1.7… - Legal services for children and parents: benefit, medium. The law provides $9.04 million for lawyers handling reunification, guardianship, adoption, and termination of parental rights. These services concern children involved with the Children’s Division and their families. Another $600,000 in federal funds reimburses counties, St. Louis, and qualifying p… - Money to repay Social Services overcollections: benefit, medium. The law provides about $26.55 million for Social Services refunds and incorrectly deposited receipts. The money is available from July 1, 2026, through June 30, 2027. Repayments cover over-collected accounts receivable and incorrectly deposited receipts. A household receives money only when owed a… - Alternatives-to-abortion services receive funding and flexibility: benefit, medium. The law provides about $12.38 million for alternatives-to-abortion services for women who qualify, including diapers and infant hygiene products. The department must move unused or expected-unused money to other nonprofit organizations or regions. This keeps the money available for qualifying women… - Court-ordered residential treatment expenses are covered: benefit, medium. The law covers expenses for a child's court-ordered placement in a residential treatment facility under the referenced social services programs. Coverage applies even when an independent assessor did not recommend the placement. The provision does not state a dollar limit or individual payment amou… - Funding for foster families and services: benefit, medium. For July 1, 2026–June 30, 2027, Missouri provides $95.89 million for foster care maintenance payments. It provides $5.56 million for placement expenses, respite care, transportation, and training, including $15,000 for licensed community recruitment programs. Another $3.45 million supports foster p… - Funding for refugee benefits and resettlement: benefit, medium. The law provides about $37.9 million in federal funds for refugee benefits, services, and statewide resettlement coordination. The recipient must be a nonprofit established in 2018 that partners or subcontracts with local resettlement programs across Missouri. The funding supports services under th… - Help with adoption and guardianship costs: benefit, medium. The law provides $3.05 million for one-time costs directly tied to a child’s legal adoption or guardianship. Covered costs include reasonable and necessary adoption fees, court costs, attorney fees, and related expenses. Another $200,000 funds nonprofit legal help for uncontested kinship guardiansh… - Payments funded for seniors and disabled residents: benefit, medium. For fiscal year 2027, Missouri provides $38.84 million for Blind Pension and supplemental payments to eligible blind residents. Another $22.34 million funds nursing care payments for eligible aged, blind, or disabled residents. That money also covers legally required personal funds for Supplemental… - Subsidies for adoptive families and guardians: benefit, medium. For fiscal year 2027, Missouri provides $121.65 million for adoption subsidies and $47.61 million for guardianship subsidies. Payments support families and guardians eligible for these Children’s Division programs. The law allows 10% funding shifts within the subsidy section and 5% shifts among spe… - Summer grocery benefits funded for families: benefit, medium. For fiscal year 2027, Missouri provides $51.5 million in federal money for SuN Bucks summer food benefits. The money funds benefit payments through the Summer Electronic Benefit Transfer program. This appropriation does not set each household’s benefit amount or a new eligibility formula. - Treatment and housing for foster children: benefit, medium. For fiscal year 2027, Missouri provides $5.47 million for room and board in therapeutic foster homes. Another $28.14 million covers room and board in designated Qualified Residential Treatment Programs, including facilities classified as mental-disease institutions. The law provides $43.26 million… - Home energy help for low-income households: benefit, medium. The law provides about $93.62 million in federal funds for low-income home energy assistance. The stated household income limit is 150% of the federal poverty level or 60% of state median income. The law does not set a payment amount for each household. - Funding for child welfare caseworkers: benefit, medium. The law provides about $110.18 million for Children’s Division field staff and operations. That funding supports up to 1,781.86 full-time-equivalent staff positions. Another $1.83 million funds staff training, including contracted training, with up to two full-time-equivalent positions. These funds… - Funding for mental health and recovery: benefit, medium. The law includes behavioral-health payment blocks of $402.27 million and $933.67 million for the Department of Mental Health. They support psychiatric rehabilitation, substance-use treatment, case management, and certified community behavioral-health services for MO HealthNet participants or uninsu… - Funding supports rural hospitals and care: benefit, medium. For July 1, 2026–June 30, 2027, the law provides $216.276818 million for rural health networks, staff, data sharing, and provider improvements. Up to 25% can move between program subsections; physician education funds cover required one-hour nutrition training. It also provides $15 million for the… - Health program funding for Missouri families: benefit, medium. The law provides $148.22 million for the Show-Me Healthy Babies Program. It allows 10% funding flexibility among listed MO HealthNet appropriations and 3% flexibility from this section to Section 11.910. Another $120.33 million funds MO HealthNet fee-for-service care through the Department of Eleme… - Medicaid community care and transportation funded: benefit, medium. For fiscal year 2027, Missouri provides $484.7 million for rehabilitation, eye and hearing care, medical equipment, eyeglasses, and medical transportation. Residential rehabilitation for children in Children’s Division custody requires authorization. Community behavioral health organizations receiv… - Medicaid systems and payment administration funded: benefit, medium. For fiscal year 2027, Missouri provides $228.12 million to operate and update Medicaid information systems. These include enrollment, data storage, pharmacy and medical claims, clinical management, managed-care tools, and electronic visit verification. Another $8.42 million funds program transforma… - State funds Medicare drug payment obligations: benefit, medium. For fiscal year 2027, Missouri provides $393.56 million in state money for its Medicare Part D drug-program payment obligation. These payments are often called clawback payments. The law permits 10% funding shifts between this appropriation and specified Medicaid accounts. It does not provide check… - Funding helps manage children's benefits and money: benefit, low. The law provides $1.864 million for contractors helping children and youth apply for benefits and manage benefits and accounts. Accounts can include special needs trusts and ABLE accounts. It also authorizes $12 million in Alternative Care Trust Fund transactions involving money belonging to childr… - Quarterly reports on children’s trust money: benefit, low. DSS must provide a quarterly accounting of money it receives for a child through the Alternative Care Trust Fund. Reports go to the child’s parents and court-appointed guardian ad litem. Children age 15 or older also receive the reports. This requirement provides information about the money but doe… - Transit help for underserved communities: benefit, low. The law provides a one-time $1 million for on-demand transit, mobility coordination, and workforce training. Services primarily target people in areas underserved by existing public transit routes. The funding aims to improve access to health care and work opportunities. It does not set a fare subs… - Cash assistance funding for low-income families: benefit, low. The law provides $14.66 million for Temporary Assistance for Needy Families and Temporary Assistance Diversion transitional benefits. The money funds cash assistance through those programs. This appropriation does not set a new household payment amount or change eligibility. - Child care funded at adult schools: benefit, low. For fiscal year 2027, Missouri provides $1.51 million in state funding for child care at adult high school locations. The appropriation supports care at those sites but does not state individual eligibility rules or a per-family amount. - Clothing payments and placement help for children: benefit, low. Covered children's clothing allowances must be paid at least once every three months; amounts and eligibility do not change. The Department of Social Services can also use specified funds to help children in Children's Division custody leave certain placements. Funds can help children leave or avoi… - Expanded information portal for foster families: benefit, low. The law provides $750,000 to expand foster-care portal software. The portal supports communication among caseworkers, licensed foster families, foster-license applicants, parents, guardians, and other key parties. This funds information sharing, not cash payments to families. - Food distribution and local purchases funded: benefit, low. The law provides about $6.78 million in federal funds for food distribution, donated food payments, and local food purchases. It funds the Food Distribution Program, Donated Food Program, and Local Food Purchase Assistance Cooperative Program. The appropriation does not set household eligibility ru… - Food support funding for struggling households: benefit, low. The law provides $10 million for food banks serving low-income people. Another $250,000 supports fresh, affordable food through a nonprofit founded in 2016. That nonprofit must serve over 250,000 food-insecure residents and be in a multi-county city with more than 400,000 people. A one-time $750,00… - Funding for blind and low-vision services: benefit, low. The law provides about $7.41 million for services for people with visual impairments. Another $6.08 million funds blind-services administration, including staff, expenses, and equipment. These appropriations support service delivery but do not specify new eligibility rules, service amounts, or hous… - Funding for family refunds and distributions: benefit, low. For fiscal year 2027, Missouri sets aside $35 million for Temporary Assistance for Needy Families reimbursements and related payments. The money also covers bond refunds, refunds of support payments or overpayments, and distributions to families. This appropriation does not set individual eligibili… - Funding for Medicaid applications and renewals: benefit, low. The law provides $1.25 million for public acute-care hospital partnerships helping determine Medicaid and CHIP eligibility. Another $9.24 million funds Medicaid renewal processing contracts and training materials. For July 1, 2026–June 30, 2027, it provides $4 million for a Medicaid application and… - Grants for pregnancy and adoption support: benefit, low. The law provides $1.5 million for adoption organizations, maternity homes, diaper banks, and groups helping people facing unintended pregnancies. Another $625,000 in federal TANF funds supports an organization providing adoption, maternity-home, and material assistance services. That organization m… - Residential recovery support for adult men: benefit, low. A one-time $500,000 grant supports residential services for men over 21 rebuilding their lives after alcohol or drug use. The provider must be a 501(c)(3) incorporated in 1971. It must be located in a city with over 400,000 residents that spans more than one county. The law does not set an individu… - Social Security distributions for youth: benefit, low. The law provides $200,000 to distribute Social Security benefits received on behalf of youth in Division of Youth Services care. The money comes from the division's Child Benefits Fund. The law does not set an individual payment amount. - Some Medicaid recipients can choose managed-care: benefit, low. The law lets a specified group of eligible MO HealthNet recipients choose the Managed Care Program. This option applies to those described in Section 501(a)(1)(D) of Title V of the Social Security Act. Enrollment is voluntary. - One-time funding for small transitional housing facility: benefit, low. The law provides a one-time $1 million state appropriation for transitional housing expected to house 15 to 20 people. The facility must be in a county with more than 200,000 but fewer than 230,000 residents. It will provide shared residential amenities; the law does not set an individual rent subs… - Adult high school help gets funding: benefit, low. The law provides $8.4 million to help low-income people attend adult high schools. It separately provides $5.1 million in federal funds for SNAP recipients to attend adult high schools. Both appropriations require schools designated by the Missouri Department of Elementary and Secondary Education.… - Foster youth education costs get funding: benefit, low. The law provides about $1.69 million for current or former foster youth attending education after high school. Covered costs include tuition, books, fees, room, and board. The department can move 3% of this funding to Section 11.910. Separately, Children's Division tuition assistance receives $308,… - Job seekers get funded training services: benefit, low. The law provides about $10.14 million for Missouri SkillUp and $13.87 million for Missouri Work Assistance Programs. Pet-grooming training and expansion receive about $1.595 million, including $995,354 in one-time state funds and $600,000 in federal TANF funds. That nonprofit must be in a Missouri… - Student career program gets funding: benefit, low. The law provides $4.5 million in federal Temporary Assistance for Needy Families funds for Jobs for America's Graduates. The money supports students served by the program. This appropriation does not set individual awards or program eligibility rules. - Students get education-to-work support funding: benefit, low. The law provides $3 million for HyperCare, a multi-year counseling and support service for high school students. It connects students with training, college credit, an information technology degree, and full-time work. Course credit must be accredited and come from Missouri higher education institu… - Students get tutoring and attendance support: benefit, low. The law provides $1.5 million for an evidence-based school program that identifies problems early and responds with support. It aims to improve attendance, behavior, reading, and math by identifying the causes of student difficulties. A separate one-time $150,000 in TANF funds supports volunteer tr… - Youth clubs and after-school programs funded: benefit, low. The law provides $1 million for after-school support, $2 million for out-of-school support, and $7 million for out-of-school enrichment. All three appropriations use federal TANF funds. A one-time $3.5 million funds youth clubs, after-school, and summer programs at a nonprofit serving youth for ove… - Better records for child welfare cases: benefit, low. The law provides about $17.78 million to develop and connect a comprehensive child welfare information system. Another $1.7 million supports child welfare eligibility administration from July 1, 2026, through June 30, 2027. By September 1, 2026, the state courts office and Social Services must sign… - Community grants and violence prevention services: benefit, low. The law provides about $8.24 million for Community Partnerships, community initiatives, contracts, and related expenses. Up to 3% can move to Section 11.910. A separate one-time $1 million TANF grant supports regional violence de-escalation, conflict mediation, and links to community resources. Tha… - Counseling and support for family relationships: benefit, low. A one-time $100,000 federal TANF grant funds counseling, education, and family support during and after divorce. The recipient must have been founded in 1977, in a city with over 8,000 but under 9,000 residents. Its county must have over one million residents. Another $500,000 in TANF funds support… - Funding for child safety and oversight: benefit, low. The law provides $7.69 million for Children’s Division administration, supporting up to 75.43 full-time-equivalent positions. It provides $2.15 million for residential program operations, supporting up to 33 full-time-equivalent positions. The child abuse and neglect hotline gets $5.63 million, sup… - Funding for family case services: benefit, low. The law provides about $3.74 million for Family Centered Services administration and $3.81 million for Team Decision Making administration. Each program supports up to 20 full-time-equivalent staff positions. It also provides $368,820 in federal TANF funds for Birth Match, including program distrib… - Funding supports child abuse investigations: benefit, low. The law provides about $1.96 million for Missouri's State Technical Assistance Team in fiscal year 2027. The money supports prevention and investigations of child abuse, neglect, sexual abuse, exploitation, child pornography, and child deaths. It also covers administrative costs. - Funding supports child protection and advocacy: benefit, low. The law provides $4.450523 million for Regional Child Assessment Centers, with up to 3% transferable to another specified account. Another $500,000 supports programs against commercial sexual exploitation of children through the centers’ statewide association. Federal funds provide $1.251341 millio… - Funding supports family centers and services: benefit, low. The law provides $25.775955 million for Family Resource Centers through the Children’s Division. It allows 5% funding flexibility among specified child-service accounts. Another $1 million in federal Temporary Assistance for Needy Families funds supports a children and family services nonprofit. Th… - Funding supports youth moving toward independence: benefit, low. The law provides $6.118803 million for youth independent living placements and transitional living services through the Children’s Division. It allows 5% funding flexibility among specified child-service accounts. The appropriation does not set an individual payment amount. - Funding to protect children from trafficking: benefit, low. The law provides a one-time $150,000 for nonprofit grants supporting statewide human trafficking prevention and education. The program must reach public and charter schools. Another $112,125 funds a statewide specialist and services for children harmed by sex trafficking or sexual exploitation. Tha… - Help finding relatives to care for children: benefit, low. The law provides about $1.28 million to search for relatives who can care for children served by the Children’s Division. The search funding supports up to 24 full-time-equivalent staff positions. Another $372,318 in federal funds supports kinship navigator services for families. Neither appropriat… - Local care and court help for children: benefit, low. The law provides about $1.32 million to counties and St. Louis for care of delinquent or dependent children. That funding runs from July 1, 2026, through June 30, 2027. A one-time $200,000 federal grant expands a nonprofit’s court volunteer services for abused and neglected children into surroundin… - Local support for abuse survivors: benefit, low. A one-time $500,000 federal TANF grant supports a nonprofit serving women and children affected by domestic violence. A separate one-time $250,000 TANF grant supports family services, help overcoming barriers to self-sufficiency, and healthy co-parenting. Both recipients must be in a city not withi… - Outreach funding for alternatives to abortion: benefit, low. The law provides $550,000 for public awareness of alternatives-to-abortion services. The program helps Social Services contractors and subcontractors reach pregnant women when digital platforms block or suppress the agencies. Covered platforms include search engines, social media platforms, and dig… - Treatment and diversion funding for youth: benefit, low. For fiscal year 2027, Missouri provides $61.55 million for Division of Youth Services treatment, foster care, and contracted services. Up to $500,000 of that funding can support juvenile court diversion. Counties operating community-based youth treatment programs receive $3.98 million in incentive… - Fatherhood and marriage services get funding: benefit, low. The law provides $500,000 from the Child Support Enforcement Fund for responsible fatherhood and healthy marriage services. Activities can include collecting child support checks. The nonprofit must have been founded in 2008. It must be in a city with more than 125,000 but fewer than 160,000 people… - Funding for local community support programs: benefit, low. For July 1, 2026–June 30, 2027, the law provides $23.44 million for Community Services Block Grant programs. Community Action Agencies and eligible nonprofits deliver these services to Missouri residents. The law does not set a benefit amount for each household. - Funding for marriage and fatherhood services: benefit, low. The law provides $1.25 million in federal TANF funds for a healthy marriage and fatherhood initiative. The appropriation does not spell out individual services, eligibility, or household payments. - Funding for nursing home care oversight: benefit, low. The law transfers $1.5 million to the Nursing Facility Quality of Care Fund. The Department of Health and Senior Services uses it for inspections, surveys, training, and technical help. The funding covers facilities licensed under Chapter 198 and does not create resident payments. - Funding supports community substance abuse prevention: benefit, low. The law provides $5.7 million for substance abuse prevention network grants. This includes a network linked to a Federally Qualified Health Center. That center must be in a county with more than 260,000 but fewer than 300,000 residents. - Funding to recruit and train foster parents: benefit, low. The law provides $1.164 million for foster-parent recruitment and retention and $976,447 for foster-parent training contracts. Another $750,000 funds a foster-care nonprofit, including $500,000 in one-time money. That nonprofit must have federal 501(c)(3) status, more than 25 employees, multiple of… - One-time health prevention funding for teens: benefit, low. For fiscal year 2027, Missouri provides a one-time $200,000 for school staff training on suicide prevention, online bullying, and mental-health resources. The nonprofit recipient must be in a county with more than 400,000 but fewer than 500,000 residents. A separate one-time $400,000 funds an adole… - Treatment and crisis care for children: benefit, low. The law provides $33.86 million for children’s treatment and crisis care, including home-based care, day treatment, prevention, and reunification. Another $500,000 covers treatment in licensed or accredited outdoor-learning foster-care programs. Outdoor-program rates come from a cost study, add to… - Mentoring and transition help for youth: benefit, low. The law provides $935,000 in federal funds for the Missouri Mentoring Partnership. Another $150,000 in TANF funds supports development and self-sufficiency programs for at-risk or foster-care youth ages 16–24. That recipient must be a 501(c)(3) formed in 2010, in a city with over 160,000 but under… - Youth mentoring and scholarships get funding: benefit, low. The law funds youth mentoring, scholarships, college preparation, job readiness, and related family support. A national-service mentoring program receives a one-time $25,000 for career exploration and scholarships for needy, talented students in grades 6–12. It must operate in a Missouri county wit… - Funding for benefit oversight and administration: benefit, low. For July 1, 2026, through June 30, 2027, the law funds several Social Services oversight functions. It provides $7 million for a Medicaid case management, provider enrollment, and fraud detection system. Another $2.39 million supports compliance administration and contracted compliance and financia… - Funding keeps social services offices operating: benefit, low. For fiscal year 2027, the law provides $420,419 for the Director’s Office, capped at 2.93 full-time equivalent positions. It provides $679,203 for Human Resources Center operations, capped at 10.50 full-time equivalent positions. Another $334,412 from General Revenue pays Critical Event Program sta… - Funding supports social services technology operations: benefit, low. The law provides $62.42427 million for Social Services technology and purchasing operations in fiscal year 2027. This covers applications, security, project management, and technology purchases supporting state and federal compliance. Another $216,319 funds Technology Unit personnel, capped at 2 fu… - Shared artificial intelligence tools for agencies: benefit, low. The law provides $1 million for a shared artificial intelligence development environment for state agencies. Funding runs from July 1, 2026, through June 30, 2027. It covers tools, platforms, and dedicated staff for responsible, secure use of artificial intelligence. The environment must support st… - Social services funding flexibility and technology transfer: benefit, low. For July 1, 2026–June 30, 2027, Social Services can receive and spend up to about $2.034 million becoming available between legislative sessions. Qualifying money includes grants, donations, contracts, and payments from private, federal, and other government sources. Before spending new funds, the… - Funding for hospitals and emergency transport: benefit, low. The law provides $48.55 million in supplemental payments to Tier 1 Safety Net Hospitals or affiliated physician groups. Physician groups must supply hospital physicians, and the services require Centers for Medicare and Medicaid Services approval. Public ground emergency transport providers receive… - Funding improves health data sharing systems: benefit, low. The law provides $50 million to improve health information exchanges and turn existing exchanges into a Health Data Utility. Funded analysis supports MO HealthNet, care delivery, system efficiency, and health outcomes in underserved communities. Exchanges must follow HIPAA and other state and feder… - Funding reviews Medicaid rides and fraud: benefit, low. The law provides $3.415263 million to redesign Missouri’s non-emergency medical transportation program. The money covers analysis and support for putting the redesign in place. It also funds a rapid review of Medicaid fraud, waste, and abuse, with recommendations. The appropriation itself does not… - Funding supports benefit application computer systems: benefit, low. The law provides $29.658376 million for Medicaid and children’s health insurance eligibility systems using modified adjusted gross income. It provides $15.746228 million for SNAP system development and $200,000 for Temporary Assistance system development. Another $1.32352 million pays for independe… - Funding supports Medicaid audits and oversight: benefit, low. The law provides $6.68941 million for the Missouri Medicaid Audit and Compliance Unit. This includes $357,634 for expanded fraud, waste, and abuse efforts using data analysis and national program-integrity strategies. Another $1.2 million from the Recovery Audit and Compliance Fund pays for Medicai… - Funding supports Missouri's Food Nutrition Program: benefit, low. The law provides $7.031849 million from the Department of Social Services Federal Fund for the Food Nutrition Program. The money supports program operations. The appropriation does not set a new individual benefit amount or change who qualifies. - Funding supports prescription assistance and payments: benefit, low. The law provides $6.375 million for medicine payments under the Missouri Rx Plan. It also provides $13 million for Pharmacy Reimbursement Allowance payments under existing law. These appropriations do not set a new household payment amount or change who qualifies for prescription help. - Funding supports safety-net hospitals and clinics: benefit, low. The law provides $14.322792 million for enhanced Tier 1 safety-net hospital rates and regional Barriers to Care planning. The plan uses existing state and local money to seek federal Medicaid matching funds for currently unmatched services. Another $19.709102 million funds indirect medical educatio… - Funding supports seniors and long-term care: benefit, low. The law provides $10.950768 million for public long-term care services, support contracts, and supplemental nursing-facility payments. It provides $15.43792 million for the Program for All-Inclusive Care for the Elderly, serving eligible older adults. The law allows 10% funding flexibility between… - Funding supports wheelchairs and adaptive equipment: benefit, low. The law provides $12.930662 million for complex rehabilitation equipment for eligible MO HealthNet participants. Equipment includes power wheelchairs, highly adjustable manual wheelchairs, adaptive seating, standing frames, and gait trainers. It must be medically necessary to prevent hospitalizatio… - Funding updates benefit and health systems: benefit, low. For July 1, 2026–June 30, 2027, the law funds Missouri's social services systems and project management. It provides about $49.59 million for income assistance eligibility systems and work to carry out Public Law No. 119-21. Another $4.02 million covers the department's project management office ex… - Medicaid emergency care and payment planning: benefit, low. DSS must implement measures to save money through emergency-room service reforms. The law does not name specific reforms or set a savings target. DSS must also have its contracted actuary develop a separate managed-care payment group for aged, blind, and disabled members. That group must reflect co… - Psychiatric hospital payment and coverage planning: benefit, low. The law sets a $1,194.22 daily minimum Medicaid rate for freestanding inpatient psychiatric hospitals under Sections 11.780 and 11.820. That matches the state fiscal year 2025 weighted average daily rate. DSS must seek a federal waiver of the institutions-for-mental-disease exclusion for inpatient… - Fatherhood programs receive job and parenting funding: benefit, low. A one-time $50,000 federal family assistance grant funds parenting skills and employment, health care, legal, and social-service help for men. That program must be in a city with more than 400,000 residents that lies in more than one county. Another $1 million in federal family assistance funds sup… - Regional job seekers get funded employment services: benefit, low. The law provides $1 million in federal family assistance funds for regional employment help through Missouri Work Programs. The recipient must be a century-old, viable nonprofit in a city outside any county. It must serve more than 100,000 clients regionally each year. The appropriation funds servi… - Targeted school and youth services receive funding: benefit, low. The law provides $1 million in federal family assistance funds for school-based student support with local community partners. Only public schools meeting Section 11.180's city, county, and county-seat population ranges are covered. A separate, one-time $500,000 state grant supports tutoring, job t… - Funding for blind people's business programs: benefit, low. The law provides about $44.6 million in federal funds for Missouri business enterprise programs for blind people. It does not set individual payments or guarantee a particular household benefit. - Limits on out-of-state Medicaid payments: cost, medium. The department cannot use money under Sections 11.780 and 11.820 for out-of-state payments. This limits public funding for out-of-state care paid through those appropriations, not all Medicaid services. The restriction does not itself require patients to pay for care. - Monthly cash benefits for blind recipients capped: cost, medium. The state cannot fund Blind Pension rates above $949 per month. Supplemental Aid to the Blind rates cannot exceed $794 per month. These are payment ceilings, not guaranteed payment amounts or stated cuts from prior rates. - Payment caps for foster and treatment providers: cost, low. The Department of Social Services cannot pay outdoor learning foster care providers more than $258 per day. Psychiatric Residential Treatment Facility payments under Sections 11.440 and 11.780 cannot exceed $471.46 per day. Provider rates under Sections 11.425, 11.435, 11.445, 11.450, 11.455, 11.46… - Certain constitution-linked program payments are barred: cost, low. The state cannot use Section 11.845 funds for program distributions tied to Article IV, Section 36(c), of Missouri's Constitution. The provision does not state the funding amount affected or individual payment amounts. - State reimbursements and contracts face payment caps: cost, low. The state cannot use Section 11.080 funds for reimbursement rates above $17 per day. It cannot use Section 11.160 funds for contract rates above January 1, 2025 levels. The supplied provisions do not identify the services or contracts involved. Neither limit directly sets a household charge. - Medicaid dental payments face rate caps: cost, low. Under Section 11.725, the department generally cannot pay dental rates above January 1, 2025 levels. Dental anesthesia codes are capped at 80% of comparable January 1, 2024 Usual Customary and Reasonable rates. Dentist extraction codes are capped at 38.5% of those rates. These limits apply to provi… - Medicaid physician payments face rate caps: cost, low. Under Section 11.715, the department generally cannot pay physician rates above January 1, 2024 levels. Certified Community Behavioral Health Clinic actuarial rates cannot exceed Department of Mental Health-approved levels; autism rates use January 1, 2025 limits. Independent laboratory rates are c… - Medicaid plan payments face spending limits: cost, low. The department cannot pay managed care contract rates above the lower end of the actuarially sound range. That restriction applies to Sections 11.770 and 11.775. Separately, per-person payments under Section 11.720 cannot exceed what fee-for-service payments otherwise cost. These caps limit program… - Nursing and home health payments capped: cost, low. The law caps aggregate nursing facility rates at rebased levels determined from fiscal year 2022 cost reports. Adjustments for residents' care needs and value-based payments are exceptions to that cap. Home health payments are capped at $12.42 per visit. Certified Nursing Assistant training reimbur… - Outpatient and coordinated-care payments face caps: cost, low. The department's outpatient hospital fee schedule cannot exceed 90% of the 2026 Medicare rate under Sections 11.780 and 11.820. Payments to primary care health homes under Section 11.815 cannot exceed $80.19 per member each month. Both limits apply to state payments to providers. They do not direct… - Rehabilitation and medical transport payments capped: cost, low. Under Section 11.755, rehabilitation and specialty provider rates generally cannot exceed January 1, 2025 levels. Non-emergency medical transportation rates use the lower end of the actuarially sound range. Hospice rates are limited to a 2.8% increase over the January 1, 2025 blended rate, plus a n… - Children's coverage premiums and eligibility limits: mixed, high. For funded uninsured children's coverage, the law sets a 0% premium rate through 150% of the federal poverty level. The rate is 4% above 150% through 185%, and 8% above 185% through 225%. Above 225% through 300%, the rate is 14%. Premiums cannot exceed 5% of total family income. Families above 300%… - Children’s health coverage includes income limits: mixed, high. For fiscal year 2027, Missouri provides $580.91 million for programs helping uninsured children get care. The Social Services director must approve service delivery and payment methods. Premium rates are 0% through 150% of the federal poverty level, 4% above 150%–185%, and 8% above 185%–225%. Above… - Medical benefits and premiums for blind recipients: mixed, high. The law provides about $24.44 million for medical benefits for Blind Pension recipients who cannot get MO HealthNet. Premium tiers depend on family income compared with the federal poverty level. They are 0% below 150%, 4% from 150% to below 185%, and 8% from 185% to below 225%. From 225% to below… - Family planning help with spending restrictions: mixed, medium. The law provides about $3.08 million for family planning and related services for uninsured women ages 18 through 55. They must be legal Missouri residents with household modified adjusted gross income no higher than 201% of the federal poverty level. These funds cannot directly or indirectly suppo… - Real-time income checks for benefit programs: mixed, medium. The law provides about $15.02 million for real-time employment and income data used in benefit eligibility decisions and renewals. Social Services must obtain current, non-modeled data supplied by employers or payroll providers. Contractors must also check monthly for covered participants who died,… ## Sponsors and cosponsors - Sponsor: Deaton, Dirk (159) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-06 | House | House Adopts Conference Committee Report | pass | 124 | 22 | 4 | | 2026-05-06 | Senate | Senate Adopts Conference Committee Report | pass | 31 | 1 | | | 2026-05-06 | House | Third Read and Passed | pass | 123 | 24 | 3 | | 2026-05-06 | Senate | Truly Agreed To and Finally Passed | pass | 31 | 1 | | | 2026-04-22 | Senate | Third Read and Passed | pass | 21 | 10 | | | 2026-03-26 | House | Third Read and Passed | pass | 138 | 11 | | | 2026-03-12 | House | HCS Reported Do Pass - with a time limit of five and a half hours of debate on Perfection pursuant to Rule 24(4)(d) | pass | 31 | 0 | | ## Actions (65) - 2026-06-30: Delivered to Secretary of State (G) (House) - 2026-06-30: Vetoed in Part by Governor (G) (House) - 2026-05-28: Delivered to Governor (House) - 2026-05-28: Signed by President Pro Tem (Senate) - 2026-05-28: Signed by House Speaker (House) - 2026-05-07: Senate Message (Senate) - 2026-05-06: Truly Agreed To and Finally Passed - AYES: 31 NOES: 1 PRESENT: 0 (Senate) - 2026-05-06: Senate Adopts Conference Committee Report - AYES: 31 NOES: 1 PRESENT: 0 (Senate) - 2026-05-06: Senate Submits Conference Committee Report (Senate) - 2026-05-06: House Message (House) - 2026-05-06: Third Read and Passed - AYES: 123 NOES: 24 PRESENT: 3 (House) - 2026-05-06: House Adopts Conference Committee Report - AYES: 124 NOES: 22 PRESENT: 4 (House) - 2026-05-06: House Submits Conference Committee Report (House) - 2026-05-05: House Distributes Conference Committee Report (House) - 2026-04-28: Senate Message (Senate) - 2026-04-28: Senate Conference Committee Appointed - SENATORS BLACK, HUDSON, CIERPIOT, MAY, WASHINGTON (Senate) - 2026-04-27: House Message (House) - 2026-04-27: House Conference Committee Appointed - REPRESENTATIVES DEATON, DAVIDSON, CHAPPELL, FOGLE, PROUDIE (House) - 2026-04-23: Senate Message (Senate) - 2026-04-23: Senate Refuses to Recede, Grants Conference (Senate) - 2026-04-23: House Message (House) - 2026-04-23: House Refuses to Adopt, Requests Senate to Recede or Grant Conference (House) - 2026-04-23: Taken Up (House) - 2026-04-23: Reported to the House with... - SS SCS (House) - 2026-04-22: Third Read and Passed - AYES: 21 NOES: 10 PRESENT: 0 (Senate) - 2026-04-22: SS Adopted (Senate) - 2026-04-22: SS Offered (Senate) - 2026-04-22: Taken Up for Third Reading (Senate) - 2026-04-20: SCS Reported Do Pass (Senate) - 2026-04-15: SCS Voted Do Pass (Senate) - 2026-04-15: Executive Session Held (Senate) - 2026-04-15: Public Hearing Held (Senate) - 2026-04-09: Public Hearing Scheduled - CANCELLED: Friday, April 17, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - Thursday, April 16, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - AMENDED: Wednesday, April 15, 2026, 9:30 a.m., Senate Committee Room 1 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - Tuesday, April 14, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-03-31: Second read and referred: Appropriations (Senate) - 2026-03-30: Reported to the Senate and First Read (Senate) - 2026-03-26: Third Read and Passed - AYES: 138 NOES: 11 PRESENT: 0 (House) - 2026-03-26: Taken Up for Third Reading (House) - 2026-03-24: Perfected with Amendments - HA 1, HA 2, HA 3, HA 4, HA 5, HA 6, HA 7, HA 8, HA 9, HA 10, HA 11, HA 12, HA 13, HA 14, HA 15, HA 16, HA 17, HA 18, HA 19, HA 20, HA 21, HA 24 (House) - 2026-03-24: HCS Adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 14, HA 15, HA 16, HA 17, HA 18, HA 19, HA 20, HA 21, HA 24, adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 9, HA 10, HA 11, HA 12, HA 13, adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 8, adopted. (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 7, adopted. (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 2, HA 3, HA 4, HA 5, HA 6, adopted. (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 1, adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-23: Laid Over (House) - 2026-03-23: Title of Bill - Agreed To (House) - 2026-03-23: Taken Up for Perfection (House) - 2026-03-12: HCS Reported Do Pass - with a time limit of five and a half hours of debate on Perfection pursuant to Rule 24(4)(d) AYES: 31 NOES: 0 PRESENT: 0 (House) - 2026-03-11: HCS Voted Do Pass (House) - 2026-03-11: Executive Session Completed (House) - 2026-02-17: Public Hearing Completed (House) - 2026-01-27: Referred: Budget (House) - 2026-01-27: Read Second Time (House) - 2026-01-22: Introduced and Read First Time (House) ## Bill text - Truly Agreed, 2026-05-06: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.07T.pdf) - Perfected, 2026-03-24: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.03P.pdf) - Committee Substitute, 2026-03-12: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.03C.pdf), [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011S.04C.pdf) - Senate Substitute, 2026-03-12: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.07S.pdf), [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011S.06F.pdf) - Introduced, 2026-01-22: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.01I.pdf) ## Related bills - HB1871: Modifies provisions relating to elections (signed) - HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than six percent upon a vote of the people (signed) - HB1827: Adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of physician's statements required for disa… (signed) - HB1840: Establishes an alert system to assist in the location of missing persons with developmental disabilities (signed) - HB1825: Removes the prosecuting attorney and the sheriff from the county salary commission (signed) - SB1408: Increases the maximum speed limit from 70 to 75 miles per hour on rural interstates and freeways (signed) ## Sources - [Truly Agreed (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.07T.pdf) - [Perfected (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.03P.pdf) - [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.03C.pdf) - [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011S.04C.pdf) - [Senate Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.07S.pdf) - [Senate Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011S.06F.pdf) - [Introduced (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2011H.01I.pdf) ## Related - [HB1871: Modifies provisions relating to elections](https://policyrisk.com/state-bill/MO-HB1871-2026) - [HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than…](https://policyrisk.com/state-bill/MO-HB1867-2026) - [HB1827: Adds licensed occupational therapists to the definition of "other authorized he…](https://policyrisk.com/state-bill/MO-HB1827-2026) - [HB1840: Establishes an alert system to assist in the location of missing persons with d…](https://policyrisk.com/state-bill/MO-HB1840-2026) - [HB1825: Removes the prosecuting attorney and the sheriff from the county salary commiss…](https://policyrisk.com/state-bill/MO-HB1825-2026) - [SB1408: Increases the maximum speed limit from 70 to 75 miles per hour on rural interst…](https://policyrisk.com/state-bill/MO-SB1408-2026) - [Missouri bills](https://policyrisk.com/states/missouri/bills) - [Missouri state hub](https://policyrisk.com/states/missouri) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MO-HB2011-2026 (as of 2026-11-04).