MO HB21

Appropriates $342.5 million for fiscal year July 1, 2021 through June 30, 2022 across six state departments: Elementary and Secondary Education, Mental Health, Health and Senior Services, Social Services, State Treasurer, and Office of State Public Defender

Allocates $15.5 million for school transportation, $2 million for adult workforce diploma programs, $1.9 million for school safety programs, and $100,000 for civic educational enhancement programs

Provides $61.5 million for consumer-directed personal care assistance services and $30.5 million for respite care, homemaker services, and other Medicaid home and community-based services

Funds $11.7 million for substance abuse treatment, $53.3 million for adult community behavioral health programs, and $24.9 million for developmental disabilities community programs

Transfers $500 million from FMAP Enhancement Fund to Medicaid Stabilization Fund and establishes provider rate caps including nursing facility increases limited to $10.18 per bed day and home health rates frozen at January 1, 2021 levels