This bill appropriates funds for personal services and operating expenses for the Department of Health - Health Services Permit Agency for the fiscal year ending June 30, 2024. It establishes a maximum of four regular employees with specified positions and salary grades, including a Health Permit Services Director, Deputy Administrator, Business Operations Manager, and Health Administrative Coordinator. The total amount appropriated for the agency's operations is $491,946, which includes allocations for regular salaries, personal services matching, and various operational expenses.

Additionally, the bill includes provisions for carrying forward unexpended balances of funds generated by fees and fines, allowing these funds to be used in subsequent fiscal years for the same purposes. It mandates that the agency provide written justification for the carry forward to the Department of Finance and Administration, which will report the amounts to the Arkansas Legislative Council. The bill also emphasizes compliance with existing fiscal control laws and includes an emergency clause to ensure the appropriations take effect on July 1, 2023, to prevent disruption in the agency's operations.