This bill appropriates additional funds to the Department of Health and Welfare for the Division of Medicaid for fiscal years 2025 and 2026, while also reducing certain appropriations for the Expansion Medicaid Plan. Specifically, the bill includes new appropriations from various funds, including the Cooperative Welfare (Federal) Fund, which sees significant increases in funding across multiple Medicaid plans. The bill also mandates the Division of Medicaid to explore outpatient addiction treatment options and to report on its findings, as well as to transition multi-year contracts to align with the state's fiscal year to enhance transparency.

Additionally, the bill establishes requirements for reporting on the Emergency Medicaid program and imposes restrictions on the use of federal funds, ensuring that state funds are not used to replace lost federal support without legislative approval. The bill emphasizes the need for accountability and transparency in Medicaid funding and operations, with specific deadlines for reporting to the Joint Finance-Appropriations Committee and the Budget and Policy Analysis Division. An emergency clause is included, allowing certain sections of the bill to take effect immediately upon passage and approval.