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, the bill stipulates that 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 includes a technical amendment to the existing law, specifically repealing subsection (a) of section 17b-3 and substituting it with new language that emphasizes the commissioner's responsibilities in accordance with state and federal law. The bill is designed to enhance accountability in the appointment process for the Medicaid director, ensuring that such appointments are subject to legislative scrutiny, which was not previously required. The bill is expected to have no fiscal impact on the state or municipalities.