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Enacted

Arkansas enacts Senate Bill 20, appropriating $10.4 billion for the Department of Human Services Division of Medical Services for fiscal year 2026-2027

Original title: AN ACT FOR THE DEPARTMENT OF HUMAN SERVICES - DIVISION OF MEDICAL SERVICES APPROPRIATION FOR THE 2026-2027 FISCAL YEAR.

Last action · April 29, 2026: Notification that SB20 is now Act 132

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Arkansas enacted Senate Bill 20 (Act 132), providing $10.4 billion in grants and $12.8 million in operations funding for the Department of Human Services - Division of Medical Services for the ending June 30, 2027. The legislation establishes a maximum of 911 regular employees, funds major healthcare programs including Medicaid and , and places strict prohibitions on state-funded promotional activities for the Arkansas Health Insurance Marketplace.

Why it matters

The measure determines state funding levels and operational rules for public healthcare programs serving low-income residents, children, and individuals with disabilities across Arkansas.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Department of Human Services - Division of Medical Services

Receives operational and grant appropriations and must comply with spending restrictions and reporting requirements.

Directly affected

Medicaid and ARKids B recipients

Receive medical services, prescription drugs, and healthcare coverage funded through the appropriated grant lines.

Directly affected

Arkansas Children's Hospital

Eligible to request the retention of up to $2,100,000 from the Child and Family Life Institute line item to match federal funds for supplemental payments.

Directly affected

Long-term care facilities and nursing homes

Subject to quality grants, receivership provisions, and funding allocations for closure or resident relocation costs.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

How much total funding is appropriated by Senate Bill 20?
Senate Bill 20 appropriates a total of $10,398,224,136 for grants and $12,767,797 for operations, totaling over $10.4 billion for the ending June 30, 2027.
Can Department of Human Services funds be used to advertise the health insurance marketplace?
No. The act strictly prohibits the Department of Human Services from allocating, budgeting, or expending any appropriations or federal funds for advertising, promotion, or activities designed to encourage enrollment in the Arkansas Health Insurance Marketplace or Arkansas Health and Opportunity for Me.
What is the funding allocation for home and community-based services for individuals with developmental disabilities?
The first $37,600,000 of funding allocated to the Department of Human Services Grants Fund Account must be set aside for home and community-based services under the .

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

19 actions
  1. Apr 29, 2026SenateEnrolled
    Notification that SB20 is now Act 132
  2. Apr 28, 2026SenateEnrolled
    DELIVERED TO GOVERNOR.
  3. Apr 28, 2026Senate
    Reported correctly enrolled and ordered delivered to the Governor.
  4. Apr 27, 2026Senate
    ORDERED ENROLLED
  5. Apr 27, 2026Senate
    Returned from the House as passed.
  6. Apr 27, 2026House
    Returned To Senate as Passed.
Show 13 earlier actions
  1. Apr 27, 2026House
    EMERGENCY CLAUSE ADOPTED
  2. Apr 27, 2026HouseFloor
    Read the third time and passed and ordered transmitted to the Senate.
  3. Apr 27, 2026House
    Considered in the Committee of the Whole, and recommended do pass.
  4. Apr 27, 2026House
    RULES SUSPENDED
  5. Apr 23, 2026HouseIntroduced
    Read the first time, rules suspended, read the second time and placed on the CALENDAR.
  6. Apr 23, 2026House
    RECEIVED FROM THE SENATE
  7. Apr 23, 2026Senate
    Ordered Immediately transmitted to the House.
  8. Apr 23, 2026Senate
    EMERGENCY CLAUSE ADOPTED
  9. Apr 23, 2026SenateFloor
    Read the third time and passed.
  10. Apr 23, 2026Senate
    Rules suspended.
  11. Apr 23, 2026SenateCommittee
    Returned by the Committee, with the recommendation that it Do Pass
  12. Apr 8, 2026SenateIntroduced
    Read first time, rules suspended, read second time, referred to JOINT BUDGET COMMITTEE
  13. Apr 1, 2026SenateIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Strict Advertising Prohibitions on Health Insurance Marketplaces

The act explicitly forbids the Department of Human Services from expending state or federal funds on advertising or promotion for the Arkansas Health Insurance Marketplace or Arkansas Health and Opportunity for Me.

Connected Entities

Department of Human Services, University of Arkansas for Medical Sciences, Joint Budget Committee and 5 more
OrganizationDepartment of Human Services“State agency receiving appropriations”Map →
OrganizationUniversity of Arkansas for Medical Sciences“Institution exempt from navigator funding restrictions”Map →
OrganizationJoint Budget Committee“Legislative committee sponsoring Senate Bill 20”Map →
OrganizationLong-Term Care Trust Fund“Fund source for nursing home closure costs and quality grants”Map →
OrganizationCenters for Medicare and Medicaid Services“Federal agency approving rate methodologies”Map →
OrganizationLong Term Care Facility Receivership Fund Account“Fund source for long-term care facility receivership expenses”Map →
OrganizationArkansas Children's Hospital“Hospital eligible to request fund retention for supplemental Medicaid payments”Map →
OrganizationDivision of Medical Services“Division of the Department of Human Services receiving the appropriation”Map →

Sources

Open source document

arkleg.state.ar.us

Analysis Score

0–100
  • Significance90
    How much this matters to a regular citizen
  • Controversy45
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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