Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.

Keywords: 1204, all

Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling. The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor. No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.

Keywords: 1204, all

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Keywords: 1204, all

Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee 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 a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.

Keywords: 1204, all

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Summary: The committee met with representatives from the Arkansas State Crime Lab for an update on operations, staffing, technology, and major projects. Crime lab officials said the new facility is on schedule and under budget, with completion expected at the end of July next year and phased move-in beginning around August 1. They described the current building as overcrowded and outdated, and said the new lab will expand workspace, improve workflow, double morgue autopsy tables, and allow new technologies such as 3D firearms microscopy, improved drug testing for emerging synthetic drugs, and enhanced fingerprint visualization. Officials also said the lab has been able to hire positions tied to the 2023 overdose-autopsy law and that recruitment for medical examiners and fellows has improved, including two new medical examiners starting in August and a successful new fellowship program. Members asked about rapid DNA, CODIS, forensic genealogy, sexual assault kit backlogs, and staffing. The lab said rapid DNA is in final testing with Faulkner and Saline counties and could go live by the end of July, which would make Arkansas one of the first states to do so. Officials explained that CODIS is used routinely, with DNA profiles from qualifying cases uploaded automatically and audited regularly, and cited it as a key investigative tool. On forensic genealogy, they said Arkansas currently relies on private labs such as Othram, Bode, and DNA Labs International, and is exploring whether to bring that capability in-house in the future. They reported that the sexual assault kit backlog from around 2016 has been cleared and that the lab is now meeting the statutory 60-day turnaround time, with kits tracked through a barcode-based system for transparency. The committee also discussed overdose data and confidentiality. The lab said a new overdose dashboard is being developed with the Office of State Technology and should go live by the end of the year, using newly available reporting data to help public health and law enforcement target prevention efforts. Members praised a recent law allowing toxicology information to be shared with the state drug director and another law protecting coroner records and toxicology reports from public release during criminal investigations; lab officials said both changes have been very helpful. The meeting ended with no votes or formal actions on the crime lab items, and the chair announced an August site visit to the Lake Conway dam project.

Summary: The Executive Subcommittee met and first approved an emergency rule change from the Department of Education to update consolidation and annexation rules to reflect Acts 919 of 2025 and 157 of the 2026 fiscal session. The rule implements the creation of new isolated school districts after local detachment votes, and officials explained the funding structure for parent districts: they retain foundation funding, declining enrollment funding, and local tax revenue, while 90% of the foundation funding generated by detaching students is forwarded to the new districts. Members discussed the financial impact in detail, and the emergency rule was approved without objection, effective upon adjournment of the Legislative Council meeting on June 19, 2026. The Department of Human Services then presented an emergency rule allowing hospitals to open separate adolescent substance use disorder units and receive payment for residential services provided to adolescents. The rule was approved without objection, and Senator Irvin requested that the topic be placed on a future public health agenda for an update. The committee also approved Whitehall’s waiver request to exceed $1 million through cooperative purchasing for construction services related to a project using a vendor with prior experience and a longer-warranty system. In addition, members voted to keep committee per diem, mileage, and expense allocations unchanged for the new fiscal year. Finally, the committee approved a motion to cancel the July 2026 Legislative Council meeting, allow only subcommittee meetings with imminent matters through July 31, and treat July subcommittee actions as final for reporting at the August 21, 2026 meeting.

Summary: The committee first reviewed the Division of Environmental Quality’s asbestos abatement program. DEQ officials explained that the program licenses asbestos-related workers and businesses, including contractors, workers, inspectors, planners/designers, consultants, air monitors, and training providers, under federal and state requirements. Members asked about asbestos use today, grant funding for removal, inspections funded by fees and fines, complaint handling, enforcement authority, and health risks. DEQ said some asbestos-containing products are still manufactured, grants have not been issued in over six years due to funding constraints, inspectors investigate complaints and can issue civil penalties or other enforcement actions, and exposure can cause asbestosis and mesothelioma. The report was accepted without objection. The committee then heard from the Arkansas Commission on Law Enforcement Standards and Training. Officials described the agency’s standards and training divisions, three basic academies, advanced training, and jail standards training. Members asked about recruitment, academy capacity, training costs, and curriculum changes. The commission said recruitment and retention are improving, basic academy enrollment is around 700 per year with capacity for about 725 to 750, training costs counties nothing because the state funds it, and basic training is being expanded from 528 hours to 705 hours with more practical instruction based on input from chiefs and sheriffs. Questions also covered detention officer training, school resource officer training, and whether other agencies are subject to the same standards. Officials said detention officers receive separate training, school resource officers have standalone training approved by the commission, and other law enforcement divisions such as the Department of Agriculture are held to the same standards. They also noted a Veterans to Law Enforcement program that allows eligible veterans to attend the academy without first being hired by an agency, with GI Bill support. The report was accepted without objection, and the meeting adjourned after no further business.

Summary: The committee met to hear consultants Mason Bishop and Cameron Christie discuss Arkansas’s “one door/no wrong door” workforce and social services modernization effort. Bishop argued that the current system is fragmented across multiple agencies, offices, and portals, making it hard for job seekers and employers to access services efficiently. He said the goal is to create a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and other economic disruptions. Bishop repeatedly pointed to Utah as a model, describing how that state combined workforce and public assistance functions into a single agency, used statewide cost allocation to blend funding streams, and improved customer service and outcomes after reform. He said Arkansas should consider integrating governance, service delivery, and financing, including possible waivers, a statewide cost allocation plan, and a benefits-cliff pilot. He also said Arkansas’s current local workforce board structure creates duplication and weak coordination, and that Launch is a useful tool but not a full service-delivery system. Committee members asked how the proposal would work in practice, including whether TANF could be used to cross-train DHS workers, how federal waivers might be obtained, how local boards would be affected, and how disabled clients would be handled. Bishop said TANF should be treated as part of a workforce strategy, that federal pilot authority for workforce reform nearly passed but did not, and that waivers are now the practical path. He also said Arkansas could either merge functions more fully or at minimum co-locate workforce staff in DHS offices statewide. No votes were taken; the meeting ended with plans to continue the discussion in August, including a focus on case management and whether the state is managing programs or people.

Keywords: 1204, all

Keywords: 1204, all