Senate Bill No. 1360 mandates that the Commissioner of Social Services nominate a Medicaid director for the Department of Social Services, with the appointment requiring confirmation by the legislature. This change replaces the current practice where the commissioner directly appoints the Medicaid director without legislative oversight. The bill also 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. Additionally, it includes a provision that if a nominee is rejected by the legislature, they cannot serve in that office for the remainder of the legislative term.

The bill makes a technical amendment to subsection (a) of section 17b-3 of the general statutes, which now includes the requirement for the commissioner to act in accordance with state and federal law. The overall fiscal impact of the bill is assessed as neutral, with no expected costs to the state or municipalities. The bill is set to take effect upon passage.