Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Summary: The Executive Subcommittee met and first considered an emergency rule from the Department of Education amending consolidation and annexation rules to implement Act 919 of 2025 and Act 157 of the 2026 fiscal session. Department staff explained the change was needed to support newly detached isolated school districts while avoiding financial hardship for the parent districts by preserving declining-enrollment funding, local tax revenue, and using existing unused department funds rather than new appropriations. Senator Irvin emphasized the policy background and financial mechanics, and the committee reviewed and approved the emergency rule without objection, effective upon adjournment of the Legislative Council meeting on June 19, 2026. The committee then approved an emergency rule from the Department of Human Services allowing hospitals to open separate adolescent substance use disorder units and receive payment for residential services provided to adolescents. Senator Irvin requested the item be brought to the Public Health committee for an update, and the rule was approved without objection, also effective June 19, 2026. The committee next heard a waiver request from Whitehall for cooperative purchasing over $1 million for construction services tied to a specific vendor and system; the athletic director said the vendor had a strong track record and the project would begin in late August 2026 and finish in November 2026. The waiver was approved on motion. In the director’s report, the committee adopted the same per diem, mileage, and expense allocations for the coming fiscal year, noting committees had not spent their full allocations. It also approved a motion to cancel the July 2026 Legislative Council meeting because of scheduling conflicts, while allowing subcommittees to meet in July only for items with imminent need; any July subcommittee actions will be final and reported to the full council at its August 21, 2026 meeting.

Summary: The committee first reviewed the Arkansas Division of Environmental Quality’s asbestos abatement program. DEQ explained that it licenses asbestos-related workers and businesses under federal and state law, including contractors, workers, inspectors, planners, designers, consultants, air monitors, and training providers. Members asked about the continued presence of asbestos in modern products, the status of the program’s grant fund, and why program expenses were expected to rise; DEQ said grants have not been issued in more than six years because revenues have not left a surplus, and the higher expenses reflect a reallocation of inspector salaries to the fund that supports the program. DEQ also described complaint-driven inspections, enforcement tools such as civil penalties and notices of violation, and the health risks of exposure, including asbestosis and mesothelioma. The report was accepted without objection. The committee then heard from the Arkansas Commission on Law Enforcement Standards and Training. The commission outlined its standards, compliance, decertification, basic academy, advanced training, and jail standards functions, and said it operates three basic academies in Camden, Benton-Bryant, and Springdale. Members asked about recruitment and retention, academy capacity, training hours, and costs to local agencies; the commission said attendance costs counties nothing because the state funds the academies, and that basic training is being expanded to 705 hours with a greater emphasis on practical instruction. The commission also described separate training for detention officers and school resource officers, and said law enforcement divisions in other agencies, such as the Department of Agriculture, are held to the same standards. It noted that most academy attendance requires agency hiring first, though a veterans-to-law-enforcement program allows some veterans to attend on their own and later seek employment. This report also was accepted without objection.

Summary: The committee met with representatives from the Arkansas State Crime Lab for what members said was likely the first appearance by the lab before this committee. Lab officials gave an overview of the new crime lab facility now under construction, saying it is on schedule, under budget, and expected to be completed by the end of July next year, with phased move-in beginning around August 1. They explained that the current building is over 40 years old and overcrowded, with caseloads having doubled over the past 20 years, and said the new facility will improve workflow, add morgue capacity, and allow new technologies and equipment to be brought online. Members asked about staffing and recruitment, and the lab said recent pay changes and legislative support have made Arkansas more competitive for forensic specialists and medical examiners. Officials said vacancies have been reduced, a new deputy chief medical examiner has been hired, two more medical examiners are starting in August, and a new fellowship program has already attracted applicants. They also said the lab is prepared for the staffing needs of the new facility and that training periods remain long for many analyst positions. The discussion also covered rapid DNA, CODIS, sexual assault kit processing, genetic genealogy, and overdose-related data sharing. The lab said rapid DNA is in final testing with pilot agencies in Faulkner and Saline counties and could go live by the end of July, which would make Arkansas among the first states to do so. Officials described CODIS as a key investigative tool, said DNA profiles are entered automatically when they qualify, and reported that the sexual assault kit backlog has been cleared with the lab now maintaining a 60-day turnaround. They also confirmed Arkansas uses a kit-tracking system, works with private labs such as Othram and Bode for genetic genealogy, and is developing an overdose dashboard to share toxicology and overdose data with public health and law enforcement partners. Members praised the lab’s progress and the committee adjourned after announcing an August site visit to Lake Conway and the dam project.

Summary: The committee first approved the prior meeting minutes, then heard a presentation from Maddie San Juan of the Women’s Foundation of Arkansas on the report “Holding It All Together: Working Moms and Child Care in Arkansas.” She said the report found that Arkansas moms want to work, but child care costs, inflexible schedules, inadequate paid leave, and the mental load of caregiving are major barriers. She cited survey and focus group findings showing most mothers want full-time work, 69% identified child care costs as a barrier, and many said flexible hours were the most important workplace support. She also described county-level dashboard data, the high cost of infant and toddler care, and examples from working mothers about spending most or all of their paychecks on child care. Members asked questions about labor force participation trends, the meaning of the child care cost figures, and how flexibility could be implemented across industries. The presenter and members also discussed the broader economic-development impact of child care shortages and the need for public-private partnerships. The Department of Education then gave an update on early childhood programs. Officials said they are building internal dashboards to improve transparency and data access for school readiness assistance, including enrollment, application, and provider participation monitoring. They reported that the state is still moving forward with the CLASS transition and expects to release transition funding to providers in the coming weeks using Preschool Development Grant funds. They also clarified that OEP awards based on CLASS scores are separate from OEC’s work and that the data is FOIA-able. Officials warned providers about a temporary payment delay during the transition to a new system, saying payments will stop June 30 and resume around July 14, with any owed funds processed then. Members raised additional concerns about early childhood special education funding, overpayment recovery from a child care center, audit requirements for Head Start and SRA funds, the market rate survey, and the status of local leads after a recompete. Department staff said they would follow up on special education funding levels and audit rules, noted that the overpayment case is under appeal, and said the market rate survey is still in procurement. They also reported that 23 local leads will cover all counties starting July 1, with no major job-description changes, and described a new PDG Partners stakeholder group and an upcoming June 23 QRIS webinar to gather provider and parent input. The meeting ended with no further business and adjournment.

Summary: The committee met to approve special expenses and then considered two interim study proposals. ISP 2025-069, by Representative Perry and presented by Representative Eaton, would move vehicle sales tax collection from the current registration-based process to the point of sale. Members asked about the current 60-day registration period, the fiscal and administrative impact on DFA, the burden on dealerships, verification and audit issues, and whether the change could affect tax collection or vehicle pricing. DFA said it was neutral on the proposal, noted programming and process changes would be needed, and said the total tax collected would not change, though timing would. The committee approved the ISP and sent it on for research. The committee then took up ISP 2025-071, based on House Bill 1636 from the 2025 session, which would phase out the state soda excise tax over five years if Medicaid trust fund revenue triggers are met. Representative Ray said the bill was intended to continue discussion after the underlying bill failed on the House floor. Members asked about the tax’s annual revenue, its dedication to the Medicaid Trust Fund, and whether the revenue would be replaced. Ray estimated the tax brings in roughly $40 million to $50 million annually and said the proposal did not replace that revenue. DFA was asked to explain how withdrawals from the trust fund are authorized and whether the legislature has oversight, and said it would provide that information later. The committee then adopted the interim study proposal.

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Summary: The committee reviewed several personnel and appropriation requests. Item C was a two-for-two position swap with no net increase in authorized positions and was approved. Item D, for South Arkansas College, added three net positions through a mix of growth and swap pool positions, including food service, public safety, housing, and compliance support roles, and was approved. Item E moved positions and $3 million in salary and match appropriation within Workforce Services to consolidate shared services, with no net change in positions, and was approved. The committee then considered a group of continuation items for FY27, covering previously approved growth and surrender pool positions, various differentials, hard-to-fill and on-call pay, a labor market adjustment for crime lab medical examiners, and continuation of grant-funded classifications tied to ARPA and IIJA grants across several agencies. These items were reviewed together and approved. Reports on the agenda required no action and were simply reviewed. On the supplemental agenda, the committee suspended the rules and approved OPM’s request for salary increases for 92 employees whose merit raises would place them over their grade maximums. Senator Dotson asked about several public safety medical examiner positions listed on the salary schedule, and staff indicated they were likely crime lab medical examiner roles. The meeting then adjourned.

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.