☰ Revisor of Missouri


Chapter 191

< > Effective - 28 Aug 2023, 2 histories    bottom

  191.831.  Health initiatives fund established, use — Alt-care pilot program, components — participation may be required. — 1.  There is hereby established in the state treasury a "Health Initiatives Fund", to which shall be deposited all revenues designated for the fund under subsection 8 of section 149.015, and subsection 3 of section 149.160, and section 167.609, and all other funds donated to the fund or otherwise deposited pursuant to law.  The state treasurer shall administer the fund.  Money in the fund shall be appropriated to provide funding for implementing the new programs and initiatives established by sections 105.711 and 105.721.  The moneys in the fund may further be used to fund those programs established by sections 191.411 and 191.600, sections 208.151 and 208.152, and sections 103.178, 143.999, 167.600 to 167.621, 188.230, 191.211, 191.231, 191.825* to 191.839, 192.013**, 208.177***, 208.178****, 208.179***** and 208.181, 211.490, 285.240, 337.093, 374.126******, 376.891 to 376.894, 431.064, 660.016*****, 660.017 and 660.018*******; in addition, not less than fifteen percent of the proceeds deposited to the health initiative fund pursuant to sections 149.015 and 149.160 shall be appropriated annually to provide funding for the C-STAR substance abuse rehabilitation program of the department of mental health, or its successor program, and a C-STAR pilot project developed by the director of the division of alcohol and drug abuse and the director of the department of corrections as an alternative to incarceration, as provided in subsections 2, 3, and 4 of this section.  Such pilot project shall be known as the "Alt-care" program.  In addition, some of the proceeds deposited to the health initiatives fund pursuant to sections 149.015 and 149.160 shall be appropriated annually to the division of alcohol and drug abuse of the department of mental health to be used for the administration and oversight of the substance abuse traffic offender program defined in section 302.010.  The provisions of section 33.080 to the contrary notwithstanding, money in the health initiatives fund shall not be transferred at the close of the biennium to the general revenue fund.

  2.  The director of the division of alcohol and drug abuse and the director of the department of corrections shall develop and administer a pilot project to provide a comprehensive substance abuse treatment and rehabilitation program as an alternative to incarceration, hereinafter referred to as "Alt-care".  Alt-care shall be funded using money provided under subsection 1 of this section through the Missouri Medicaid program, the C-STAR program of the department of mental health, and the division of alcohol and drug abuse's purchase-of-service system.  Alt-care shall offer a flexible combination of clinical services and living arrangements individually adapted to each client and her children.  Alt-care shall consist of the following components:

  (1)  Assessment and treatment planning;

  (2)  Community support to provide continuity, monitoring of progress and access to services and resources;

  (3)  Counseling from individual to family therapy;

  (4)  Day treatment services which include accessibility seven days per week, transportation to and from the Alt-care program, weekly drug testing, leisure activities, weekly events for families and companions, job and education preparedness training, peer support and self-help and daily living skills; and

  (5)  Living arrangement options which are permanent, substance-free and conducive to treatment and recovery.

  3.  Any female who is pregnant or is the custodial parent of a child or children under the age of twelve years, and who has pleaded guilty to or found guilty of violating the provisions of chapter 195, and whose controlled substance abuse was a precipitating or contributing factor in the commission of the offense, and who is placed on probation may be required, as a condition of probation, to participate in Alt-care, if space is available in the pilot project area.  Determinations of eligibility for the program, placement, and continued participation shall be made by the division of alcohol and drug abuse, in consultation with the department of corrections.

  4.  The availability of space in Alt-care shall be determined by the director of the division of alcohol and drug abuse in conjunction with the director of the department of corrections.  If the sentencing court is advised that there is no space available, the court shall consider other authorized dispositions.


(L. 1993 H.B. 564 § 23, A.L. 2003 H.B. 600, A.L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B. 157)

*Section 191.825 was repealed by S.B. 1001, 2000.

**Section 192.013 was repealed by S.B. 3, 1995.

***Section 208.177 was repealed by S.B. 613 Revision, 2007.

****Section 208.178 was repealed by S.B. 975 & 1024 Revision, 2018.

*****Sections 208.179 and 660.016 were repealed by H.B. 1608, 2012.

******Section 374.126 was repealed by S.B. 732, 1994.

*******Section 660.018 was repealed by H.B. 1965, 2010.

---- end of effective  28 Aug 2023 ----

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191.831 8/28/2023
191.831 7/1/2003 8/28/2023

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