Senate Bill No. 1360 mandates that the Commissioner of Social Services nominate a Medicaid director, who will then be appointed by the Governor and subject to legislative confirmation. This change replaces the current practice where the commissioner directly appoints the Medicaid director without legislative oversight. Additionally, any individual serving as the Medicaid director prior to the bill's passage will continue in an interim capacity until their appointment is confirmed or denied by the legislature. The bill also stipulates that if a nominee is rejected by the legislature, they cannot serve in that office for the remainder of the legislative term.

The bill includes a technical change to the existing law, specifically in subsection (a) of section 17b-3, which is repealed and replaced with new language that emphasizes the commissioner's responsibilities in accordance with state and federal law. The bill is effective upon passage and is expected to have no fiscal impact on the state or municipalities.