MO HB2011

Appropriates $18.13 billion total for Missouri Department of Social Services for fiscal year July 1, 2026 through June 30, 2027, funded by $3.37 billion from General Revenue, $12.94 billion from Federal Funds, and $1.82 billion from Other Funds

Allocates approximately $5.2 billion for Medicaid Adult Expansion program under Article IV, Section 36(c) of the Missouri Constitution, including managed care payments, behavioral health services, and supplemental hospital payments

Funds MO HealthNet Division programs including $1.72 billion for pharmaceuticals and Medicare Part D clawback, $2.93 billion for general managed care plans, and $1.22 billion for nursing facility care

Provides $216.3 million for the Rural Health Transformation Program including regional coordinating networks ($46.2 million), digital health interoperability ($62.5 million), provider transformation ($64.9 million), and workforce programs ($17.9 million)

Appropriates funding for children's services including $169.3 million for adoption and guardianship subsidies, $95.9 million for foster care maintenance payments, and $56.9 million for comprehensive case management contracts through community-based organizations