This bill appropriates a total of $12,841,803 for personal services and operating expenses for the Department of Human Services - Division of Medical Services for the fiscal year ending June 30, 2024. It establishes a maximum of 96 regular employees with specified salary grades and allows for ten temporary or part-time employees classified as "Extra Help." Additionally, the bill allocates $9,930,094,296 for various grant payments, nursing home closure costs, and quality grants. A significant new provision requires the Department of Human Services to conduct an independent pharmaceutical dispensing fee survey before any changes to the dispensing fee are made. The bill also restricts the use of appropriated funds for advertising related to the Arkansas Health Insurance Marketplace and sets guidelines for rate methodologies used by the Division of Medical Services.

Moreover, the bill allocates $37.6 million specifically for home and community-based services under the Community and Employment Supports Medicaid Waiver Program for individuals with intellectual and developmental disabilities, with a provision for unspent funds to carry over into the next fiscal year. It mandates the Department of Human Services to pursue increased reimbursement rates for assisted living facilities and to provide regular updates to the Legislative Council on these efforts. An emergency clause is included to ensure the act takes effect on July 1, 2023, to prevent disruptions in essential services, and it affirms compliance with existing fiscal control laws while ensuring the severability of its provisions.