The bill, HB1091, proposes an appropriation for the Arkansas Department of Health for the fiscal year ending June 30, 2026, detailing funding allocations for various health-related programs and services. It establishes a maximum number of regular and temporary employees across divisions, including Shared Services and the Trauma System, with specific appropriations of $425,501 for Shared Services, $330,969,878 for Operations, and $26,215,247 for the Trauma System. Key insertions include the addition of 5 employees in the Shared Services section and funding for trauma system expenses, as well as allocations for health building improvements and nuclear planning grants.

The bill also includes significant changes such as adjusting fiscal years and establishing an emergency clause for immediate effectiveness starting July 1, 2025. It mandates a minimum annual allocation of $4.755 million for the Breast Care Program and requires the Department of Health to report on its expenditures. Additionally, it allows for the creation of a Shared Services Paying Account to manage personal services and operating expenses, while providing for the carry forward of unspent funds, enabling the department to utilize up to $3.7 million for emergency management and contraceptive services.