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Read. Follow. Verify.Missouri House Bill 10 appropriates funds for the Department of Mental Health and Department of Health and Senior Services for fiscal year 2026
Last action · November 25, 2025: Message Received from the Governor, pursuant to Article IV, Section 27Sponsor: Dirk Deaton
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What This Bill Would Do
House Bill 10 appropriates state and federal funds for the operating expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee for the period beginning July 1, 2025, and ending June 30, 2026. The legislation caps certain provider rates at January 1, 2025, levels while authorizing targeted slot additions for Medicaid home and community-based services and specific program funding. It also establishes reporting requirements for agency expenditures and federal compliance.
The measure determines state funding allocations totaling billions of dollars for psychiatric care, developmental disability services, public health programs, and senior citizen assistance across Missouri for 2026. It establishes strict reimbursement caps for specific healthcare and caregiving providers while funding new waiver slots for crisis residential services and community support.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
State employees in mental health and health services
State employees receive funding for personal services, annual salary adjustments, and overtime payments as outlined in the appropriation sections.
Medicaid home and community-based services enrollees
Enrollees are affected by funding allocations for waiver slots, provider rates, and home and community-based services programs.
Healthcare and social service providers
Providers are subject to rate caps effective January 1, 2025, with specific exceptions and reimbursement guidelines for services delivered.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What agencies receive funding under House Bill 10?
Are provider rates capped under this legislation?
What new Medicaid waiver slots are authorized?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently filed. The next step in the legislative lifecycle is Committee.
Procedural history
1 action- Nov 25, 2025Governor of MissouriMessage Received from the Governor, pursuant to Article IV, Section 27
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Strict Provider Rate Capping Tied to January 2025 Baseline
Part 2 of the appropriations act systematically freezes provider rates across multiple mental health and senior services at their January 1, 2025 levels, permitting increases only for explicitly carved-out programs like Certified Community Behavioral Health Clinics.
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance95How much this matters to a regular citizen
- Controversy30Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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