The bill, S.B. No. 1046, amends the composition of the Health and Human Services Commission Executive Council by adding new requirements for membership. Specifically, it mandates that the council include at least one parent or guardian of a child with a disability who is a Medicaid recipient, including those receiving services under a Medicaid waiver program. Additionally, the executive commissioner is granted the authority to appoint other individuals as deemed necessary. The previous requirement for a commissioner of a health and human services agency remains, while the language regarding the commissioner of the Department of Family and Protective Services has been modified to clarify their inclusion regardless of the agency's status.

Furthermore, the bill stipulates that members appointed under the new provisions may not receive compensation for their service but are entitled to reimbursement for travel expenses incurred while conducting council business. The executive commissioner is required to appoint at least one parent or guardian of a child with a disability to the council as soon as practicable after the bill's effective date, which is set for September 1, 2025.