This bill appropriates funds for the Department of Human Services - Division of Medical Services for the fiscal year ending June 30, 2026, with a total operational budget of $12,757,940. It establishes a maximum of 91 regular employees with specified positions and salary grades. Additionally, the bill allocates $10,398,224,136 for various grants, including nursing home closure costs and quality grants for long-term care facilities. It also includes provisions for Medicaid rate methodologies, requiring prior approval from the Legislative Council or Joint Budget Committee for any changes, and restricts the use of appropriated funds for advertising related to the Arkansas Health Insurance Marketplace.

The bill emphasizes the necessity of these appropriations for a one-year period, effective from July 1, 2025, to ensure the operation of the agency and prevent harm to essential governmental programs. It declares an emergency to facilitate immediate implementation, stating that the provisions will be in full force and effect from the effective date. This urgency underscores the importance of timely funding and operational continuity for the Department of Human Services.