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Representative Voss seeks state authority to contract with public health institute to draw federal grants

2879973 · April 2, 2025
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Summary

Representative John Voss presented House Bill 973 to authorize the Department of Health and Senior Services to contract with a Missouri affiliate of the National Network of Public Health Institutes to administer federal grants and expand public health capacity; supporters said the model already exists in other states and can help secure funding.

Representative John Voss told the committee House Bill 973 would authorize the Department of Health and Senior Services to contract with a Missouri affiliate of the National Network of Public Health Institutes (NNPHI) to expand the state’s capacity to administer federal public-health grants.

Voss said Missouri has struggled to capture federal funding because the department lacks capacity to both apply for and administer certain federal programs. The bill would permit a designated nonprofit public-health institute to perform grant administration, program coordination and regranting functions that several other states already use to scale public-health activity.

Sarah Schleier, speaking for the Missouri Center for Public Health Excellence, described the NNPHI membership process and said public-health institutes can meet federal administrative requirements quickly. Supporters said the approach is intended to be flexible: eligible entities would apply and be vetted; the contract would include accountability requirements such as an annual report to the General Assembly listing funds received, funds spent and program results.

Committee members questioned whether the state could instead hire internal grant staff or add an FTE; sponsors said the statute is designed to permit rapid scale-up without increasing state headcount and that administrative fees are typically drawn from federal grant awards. Representative Hayden and others asked about oversight and the percentage of grant funds that would go to administration; the sponsor said the committee can include contract limits and reporting requirements to protect program dollars.

Why it matters: Supporters said the bill would help Missouri access federal funds and expand public-health services (workforce training, communications, program delivery) without the department having to hire large numbers of new staff mid-budget cycle.

What’s next: Supporters indicated they will provide the committee with details about likely grant opportunities, membership standards for public-health institutes and the reporting framework; no committee vote is recorded in the transcript.