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Committee substitute trims some waiver proposals, moves federal pandemic balance into managed care and adjusts TANF/nonprofit funding
Summary
Chair Dayton reviewed House Bill 11 items affecting Department of Social Services and Department of Health, including reductions to some waiver proposals, one-time transfer of pandemic-era funds into managed care, changes to TANF and nonprofit grants, CHIP vaccine funding and several targeted one-time cultural and CASA appropriations.
Chair Dayton outlined changes in the House committee substitute related to Department of Social Services, Department of Health and associated programs.
On developmental disability (DD) waivers, Dayton said the House Committee substitute reduced but did not eliminate the governor's recommended increases. The substitute includes 500 additional slots for the Community Support Waiver and 200 additional slots for the Partnership of Hope waiver; Dayton said the substitute funds a full year's cost so the committee would not expect a general revenue pickup in FY27 provided slot counts track expectations. He noted, however, that if actual new enrollments match the governor's estimates, an estimated $35,000,000 general revenue pick-up could be needed in FY27.
Dayton reported moving $421,507,198 remaining pandemic-era stabilization funds into managed care as a one-time entry to reflect updated projections and give a clearer general-revenue outlook for next year. He also described reductions to pharmacy projections and several other updates tied to updated FMAP projections.
On TANF and nonprofit funding, the chair noted a mixture of one-time and ongoing items, and said the committee had reallocated or reduced some smaller TANF items based on observed lapse history. He called attention to a new childcare assessment center NDI in Greene County for $3,000,000 and mentioned increases to NICU payments by $1,400,000.
Dayton and Representative Taylor exchanged on particular nonprofit-funded programs: Taylor challenged the chair's characterization of an opioid treatment program's funding as "new," noting the organization has received state support previously. Dayton acknowledged differing understandings and asked for follow-up with staff and the department to confirm program history and readiness.
Chair Dayton also mentioned heritage and arts items on page 52, including funding for statewide tours and museum projects in prior years, and said some items (for example, the Springfield Art Museum line) were reduced out pending confirmation of project status.
Ending: Dayton said members should consult with staff about specific lines and be prepared to renew amendment requests after substitutes are published; the committee left program-specific clarifications for staff and agencies to resolve before final adoption.
