Appropriation; Medicaid, Division of.

Specific dollar amounts were added for appropriations from the State General Fund ($906,527,208), the Medical Care Fund ($657,166,417), and special source funds ($6,735,594,770).

New sections establish detailed performance targets for the agency, including specific numbers for emergency room visits, Medicaid recipients, and health outcome metrics like diabetes and asthma management.

Strict restrictions were added on the use of 'Personal Services' funds, limiting them to salaries, wages, fringe benefits, and vacancy funding, with explicit prohibitions on using them for promotions or salary increases for current employees.

New provisions require the State Personnel Board to monitor salary actions to ensure the agency does not exceed the appropriated budget for personal services and to prevent future budget shortfalls.

The bill now mandates that the agency provide monthly statistical and financial reports to various legislative committees and the Legislative Budget Office.

New sections require the establishment of health-related outcome baselines for the MS-CAN program and mandate continued funding for specific Home and Community Based Waiver slots.

Formatting changes were made to align the bill text with the official House version, including reordering the sections and adjusting the header information.