Demo by Wysor for Arkansas lobbyists. "Sample Client (hospital system)" is a made-up client to show how a client alert looks.
November 10, 2026 · Official meeting page
The joint subcommittee approved its May 23 minutes and heard DHS Medicaid director Elizabeth Pittman update the Our Home program and maternal health initiatives. DHS said all three Centene plans are leaving Our Home in 2027, so about 70,000 members must move to Blue Cross plans, and federal work requirements and six-month redeterminations begin January 1, 2027. CMS granted only a 6-month waiver extension, and no decision has been made on the program's long-term future or on coverage for women in the income gap. No votes were taken beyond the minutes and adjournment.
Sample Client (hospital system) came up at:
Committee chair (Public Health, Welfare, and Labor Committee)
Close enough. All right. I call this meeting to order. Can I get a motion to consider the minutes from the May 23rd meeting? Motion. All right. I'll second that. All in favor? Aye. Opposed? Motion's approved. I don't know why I banged the gavel again. All right. Right now, staff is handing out some information from DHS, and while she's handing that out, if Miss Pittman would come and introduce herself. I understand that Secretary Mann is sick and will not be able to join us today. We, we wish her well. And then as soon as you get settled, just introduce yourself and please begin.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
All right. Here we go. Good afternoon. I'm Elizabeth Pittman. I'm the Director for Division of Medical Services. And Secretary Mann does send her apologies. She is not feeling well and cannot be here today.
Committee chair (Public Health, Welfare, and Labor Committee)
You're recognized to begin.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Okay. I've been asked to provide an overview of both our Our Home program and maternal health initiatives, within Medicaid. And then we'd be happy to take any questions about both. Would you like me to present one, then take questions, Representative?
Committee chair (Public Health, Welfare, and Labor Committee)
Sure. Let's start with the AHOMES first, and then we'll do your presentation, then take some questions, and then we'll move on to the next slide.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So as you're probably very aware, there's a lot going on in AHOME right now. Most immediately, we are ending our open enrollment. As you may have heard, all 3 of the Centene plans have decided not to continue coverage in 2027. So we are currently in the process of doing open enrollment, allowing— they have about 70,000 beneficiaries attributed to them. We are allowing those 70,000 to choose a Blue Cross plan if they would like. And if they do not choose one by next week, the 15th, we will auto-assign them into a plan. Those notices are scheduled to go out either the 16th or the 17th after we do that auto-assignment so that they can then get their packets from Blue Cross in advance of January 1st. No one will lose coverage because of this transition, and everyone will remain in a Blue Cross plan. I believe both Blue Cross and Centene have been meeting with us to make sure that we get all prior authorization issues and things of that nature worked out. So we're hoping for a smooth transition come January 1st for those beneficiaries. The next thing that will be happening is on January 1st, 2027, we begin the requirements under the Work— Working Families Tax Credit or HR 1. The first of those, as you are probably very familiar with, is the community engagement and work requirement. That starts on January 1st. We are in the middle of a soft launch, so beneficiaries are receiving notices today of whether or not they would meet compliance come January 1st. No action is being taken. It's information only, telling them, yes, we were able to data match you, or no, we were not able to, and you would need to show us evidence of either compliance or an exemption. So compliance would be 80 hours a month of work, community engagement, or education, or any combination thereof. And there are many different exemptions, including former foster children up to age 26, those that are members of a Native American tribe or Alaska Natives, veterans with rated disabilities, those in receiving Social Security Disability or on Medicare Part A or Part B, and people that already meet the SNAP or TANF work requirements, those in substance use or alcohol treatment, and those that have what we call a special medical need. DHS will attempt to data match using any data we have available, including information regarding income, working hours, Social Security eligibility, veterans disability information. We'll also data match in our system for claims data, including diagnosis and CPT code data. If we're able to data match, the member will have to do nothing if we can show compliance or exemption. If we're not able to data match, we will then send that information to the Customer Service Center that we provided you a brochure about. They are launching now. You approved their contract, I believe, in October. So they are working now to get ready for January 1st. They will do outbound verification to that member. So they'll call, email, text, however they can to get in touch with that member. Excuse me, my throat's sore. A little sore from my cold last week. I think I made Janet sick. But anyway, they'll do whatever they can to get in touch with that member and help them to verify compliance. We've also created a form for physicians to use. That form can be used. It doesn't have to be used. It's not required. It's there. It lays out all of the different ways you can show exemptions, and a physician or any medical provider— it does not have to be a physician— can fill that out. We had 5 provider focus groups. Over the last month with physicians, pharmacists, mental health professionals, substance use professionals. I cannot remember the last group, but there was a 5th group. And we showed them the form, showed them and tried to explain how to use it, and also took their feedback. So we're making some changes to that form based on what they have told us. And again, we're not limiting that to physicians only. Any medical professional with a credential can fill that form out. So that's coming on January 1st. You have to show compliance or exemption every 6 months at your redetermination. So redeterminations for the Our Home population will also start January 1st, 2027, happening every 6 months. The first group this will directly impact is the group that's eligible or up for renewal in March, because the new rules apply when we start sending the notices out. We send notices out 2 months in advance. So the first group that will receive notices in 2027 Is the group that is actually up for renewal in March. So the first group of people we will see affected by these requirements is up for renewal in March, if that makes sense, because that's when they'll start getting their notices in January. And then the last thing is the Our Home temporary extension. We received notice last week from CMS. As you know, earlier this year, we had received notice from CMS that there were some concerns Regarding our budget neutrality of our Our Home 1115 waiver, that they did not believe it would meet the new test under the Working Family Tax Credit. And we had requested a 2-year extension from CMS to work through those discussions with them and to formulate a plan to transition those members. CMS last week gave us a 6-month extension, and along with that 6-month extension sent us a companion letter. In that companion letter, they explained that they wanted us to work with the governor's office, legislature, and them to formulate a long-term plan, and that they would give us additional extensions as needed to work through that plan. So we are still modeling and considering all possibilities for the Our Home population. Nothing is off the table except for not continuing coverage at this point. I'm still working with you guys to figure that out. And that is my update for Our Home. That is a lot of information. So happy to take any questions about it.
Committee chair (Public Health, Welfare, and Labor Committee)
Senator Love, you're recognized for a question.
Fred Love
Okay, so let's, let's first begin by saying how many, how many, how many people are impacted by the OurHome if we just discontinue coverage? How total?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So current enrollment, and that's as of today, or November 1st, actually November 1st enrollment was 208,837. So about 209,000 people.
Fred Love
All right, 208,000. Now let's, let's just break this down. All right. You said that they have to be switched, the coverage has to be switched from Centene.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
For about 70,000 of those members.
Fred Love
Okay. So 70,000 of them—
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Are currently enrolled in a Centene plan. Yes, sir.
Fred Love
Okay. And they have to be switched over now.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
By the end of this year.
Fred Love
By the end of this year. That's 6 weeks.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Yes, sir. We're well underway.
Fred Love
Okay. So tell me this. When did they first— when did they first get knowledge of that? When did you all first send notices to them?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
We received notice from Centene around July 1st, and they were required to provide those members, I believe, with 180 days' notice. So they would have sent their notices out to those members very shortly after letting us know. And so that would have been the first notice that the members received.
Fred Love
Are we saying they did receive notice July 1st?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Yes, sir. I can find the record of that in our email.
Fred Love
And do we know how many, how many began taking action as far as selecting new plans?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So we started getting some phone calls, not very many. We started communicating it. It went up on our frequently asked questions page related to OurHome and how they could change that plan if they needed. We have an open enrollment period where anyone can change plans for any reason. Okay. We actually moved that up a month to allow Blue Cross to get all of those members' information that the middle of next month so they can get all of their member packets. We typically do that at the end of the year. We close out everything in December and then those plans get the changed members because we knew there were going to be 70,000 changed members and that was going to be a lot of packets. We moved that up. So we're currently in open enrollment right now. It ends next week. We have sent notices regarding that out to everybody that is impacted, Blue Cross and Centene. The notices to Centene did inform them that they will have to change plans, but if they don't select one, we'll choose one for them. So just like we normally do, we'll auto-assign them into a plan if they don't choose one. So if they take no action at all, we'll put them in a Blue Cross plan.
Fred Love
Okay. Okay. Do we know how many, how many have not already taken action?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I can— I don't know. When it closes out, we'll have better numbers on who chose and who didn't choose a plan.
Fred Love
All right. So how soon, how soon will you have that?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Next week.
Fred Love
Next week? Okay. Now for the other 130,000,
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Yes, sir.
Fred Love
It's open enrollment.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Yes, sir. They can choose a plan if they want. They don't have to. They'll continue in their same plan if they're already in a Blue Cross plan and they don't choose another one. We'll just keep them in that same plan. There are about— hold on.
Fred Love
Yeah, let me ask you this. You keep saying— you keep talking about Blue Cross. Is there any other plans besides Blue Cross?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So there are 3 plans run by Blue Cross. There are currently 3 plans run by Centene. All 3 Centene plans are pulling out of the— out of our home. And so they will all be attributed into one of the 3 Blue Crosses.
Fred Love
Okay. All right. For right now, that's all my questions. Thank you.
Committee chair (Public Health, Welfare, and Labor Committee)
Okay. Okay. I've got a few questions. Glad to hear about the 6-month extension. Obviously, it sounds like that we need to have a plan together to formulate during session. We'll get additional extensions for implementation. And that was one of my questions I had was, Whether what plan we choose, do we have a timeline for how long that implementation window would be?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So I don't have exactly the timelines in front of me. They may have some in this Milliman letter, but I don't know that they have the timelines in here. But ballpark, moving to managed care is at least about a 24-month process. So we would need the full 2 years to do that versus moving to fee-for-service we could potentially do in a 12- to 18-month time period.
Committee chair (Public Health, Welfare, and Labor Committee)
Okay, great. And you mentioned the Milliman letter. I'm curious if you could walk us through that Milliman report that came out in September. We've got a lot of new members coming in, and I think it's just really good to kind of level set some of the different options and let people know.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services) Sample Client (hospital system)
I can try as best I can. I am not an actuary. They walked through 3 different models. Table 1 of the letter, and we can get this to everybody here, actually summarizes those models for you. The first one is an expansion, adults moving into Medicaid at Medicaid reimbursement. That says that it will be a total savings to the federal government and the state of about $805 to $961 million. But given that we only have about 10% of those costs and we're also getting premium revenue, The state share savings is only about $41 to $58 million on that model. If we took those expansion adults, moved them into Medicaid fee-for-service, and increased the reimbursement up to Medicare, which is high as we can get in the new Medicaid rules under HR 1, it would be about a $631 million to $753 million savings. Actuaries like ranges. They don't like definite numbers. Sorry about that. That's okay. State share would be about $22 to $35 million. All of these are savings numbers. And then expansion— moving expansion adults to managed care at Medicare reimbursement would be about $610 million to $734 million in savings with about $61 million to $70 million in state share savings, again, because we would get that premium tax revenue back. So there's a little more savings there. Thank you. So that's sort of the summary of that. They then go into details about some of their assumptions that they made in making those models throughout the letter. And then they at the end, I believe, do talk a little bit about an accountable care organization. And that is a model in which we do— we hire someone to do some sort of management of care, but they're not at full managed care. They don't pay for all of the services. Okay. They don't take all of the risk, but they do accept risk of doing some sort of care coordination or managed care management around that patient.
Actuarial models showing savings from moving expansion adults to fee-for-service or managed care, at Medicare-level reimbursement, signal how hospital payment rates could change in the coming session.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. Thank you. I'm curious too, if we do go to a fee-for-service model, do we know how much personnel we'll need to hire at DHS to manage these 200,000 lives?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
We have done some attempts to model that out. We don't— I don't have the definitive numbers in front of me. I can provide you with any of the modeling that we've done. A lot of that is scalable. So, you know, it would increase our number of prior authorizations that we had to review, retrospective utilization, things of that nature. Just the volume of things that we have to process every day would increase. So it's not necessarily adding new processes. So it's, it's just a matter of scaling those up and what FTEs or contract additions do we need to do that.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. And another question I have, And I'm really curious because these have been kind of some dangling issues I've heard from a lot of my colleagues is how the UPL for the, you know, upper payment limit for hospitals, how it will be affected whether we go MCO or fee-for-service. And of course, 340B as well. And so, I'd hope you could speak to that additionally.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services) Sample Client (hospital system)
I can try. The 340B, we're still working with providers on understanding some of their concerns around that. We have a ceiling price in 340B under Medicare— Medicaid rules that says that we either pay the acquisition or the ceiling price as set by the Medicaid program, the lower of those 2. My understanding is in private insurance, they don't have a ceiling price and we're not able to share that ceiling price with them. So, they would get their regular retail price. So, I think that is the concern with 340B is that we have a cap that private insurance does not necessarily have. However, they would get the 340B benefit in Medicaid just like we do for all of our providers. They would be able to bill it as a 340B drug, get it at that acquisition cost and— Okay. and bill us for it and get their acquisition cost back, um, that difference that would, would be changed. Uh, the, um, and what was the other? UPL?
DHS described the Medicaid ceiling price for 340B drugs and provider concerns about it, which bears directly on pharmacy revenue for hospitals participating in 340B.
Committee chair (Public Health, Welfare, and Labor Committee)
Yeah, UPL.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services) Sample Client (hospital system)
Um, so my understanding is, you know, we're locked into our percentage under the, the HR 1 bill, so we cannot increase our overall percentage of tax from what it was on July 4th, 2025. Um, that said though, we can change the providers that are in that pool. So we could potentially add those members into that UPL pool if we went into fee-for-service and count them into that UPL. But the percentage would have to stay the same. So if the gap went up, that could affect what percent of that gap they got.
DHS said the state cannot raise its overall provider tax percentage under federal law, so moving members to fee-for-service could change how much of the upper payment limit gap hospitals receive.
Committee chair (Public Health, Welfare, and Labor Committee)
Okay, that's great. Going back to the 340B, do you know— I mean, you said you're working with providers and you're crunching those numbers. I mean, with that population, do you know how much is currently circulating within
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Within 340B?
Committee chair (Public Health, Welfare, and Labor Committee)
Yeah.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I do not. Okay. I can ask the carriers.
Committee chair (Public Health, Welfare, and Labor Committee)
Well, I think it would be a good number for us to know. I mean, we've got a pretty tight timeline on here, and I know that's, you know, a concern I've heard from providers, and I would just like to know what are some official numbers.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I'll see what the QHPs can tell us about what they know on 340B.
Committee chair (Public Health, Welfare, and Labor Committee)
Fantastic. All right. I've been hogging the mic. Is there any other questions on either of those models anyone would like to ask? There's— oh, I forgot another one I had. I've heard that if you go to a fee-for-service model, you could carve in or carve out 340B, but I was curious if you could speak to that. I've not heard of that before, and—
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I've not heard of— I mean, we can choose to recognize 340B. I've heard some states are choosing not to now, and so they don't let you bill 340B in Medicaid. So that the state can get the rebate because that's how 340B works in Medicaid, right? Correct. The provider gets the rebate versus the state. That's the only thing I've heard of. You know, we're not— we carve in 340B for Medicaid. So we allow providers to be 340B providers and they bill us at their acquisition or ceiling price.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. But you don't have a definite answer whether or not that can be carved in or carved out with a fee-for-service model?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Outside of what I've just said where we could say you can't bill us for 340B That's the only carve-in, carve-out I'm aware of. I'll see if there's another one.
Committee chair (Public Health, Welfare, and Labor Committee)
That'd be great. Okay. Yeah. And then another, you know, an interesting thing I've heard from other members, and I think maybe you can address this, is capping Medicaid enrollees has been an idea that's floated out there. My understanding is we're not able to do that, but I think you could maybe more intelligently speak to that and maybe address that concern that we've heard from members.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Sure. The only program I know of where we're allowed to cap the number of enrollees would be a waiver program where we have slots. So like our 1915 waiver. Where we can set a number of slots for that waiver and then have a waitlist. Outside of those types of programs, like our standard Medicaid beneficiary packages, if you're eligible, you receive our benefit that you're eligible for.
Committee chair (Public Health, Welfare, and Labor Committee)
So you're not able to do any sort of cap for that population? No. Okay. No, that's good to know. Okay. Any other questions? All right. I think we can move on to maternal health.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
All right. This one's a little bit shorter, although we do have a lot of exciting things going on with maternal health as well. On September 1st, we started enrolling doulas and lactation consultants after we brought that rule to you guys for approval. We have already received 8 doula— or approved 8 doulas and 1 lactation consultant. We have 5 that did deny for technical reasons. We've reached out to all 5 of them and 4 have resubmitted their applications. So we're hopeful and we're already seeing billing on those. We do notice there is a lag in lactation consultants. So we've reached out to them. I met with Baptist Hospital's lactation consultant group yesterday and there's some billing concerns they have. We're working through those with them to try to increase the number of lactation consultants we have enrolled. We have 2 rules left from 2025 in maternal health that are pending. The CHW rule or community health worker rule is in its final approval stages. Once that's approved, it will go out for public comment. And come before these bodies. And then our birthing centers rule has been a little bit slow because, as you may know, there are no birthing centers in Arkansas. So it's been a little hard to get the information together on that and to figure out how to price it. We are in the final stages of drafting that rule and to send it forward for approval. So again, we're hoping for a July 1st start date of next year for that one. For Life360 Home, we opened a new one in Northwest Arkansas with Mercy Hospital earlier this summer. Summer. And UAMS is at the final stages of their startup agreement and they're getting ready to take clients. They will serve approximately 20 counties in Central Arkansas and in the Delta. So we're really excited to see that come online. And then for Transforming Maternal Health or the TIMA grant, we are currently asking for letters of interest from providers. What these letters of interest mean is that you agree to continue learning with us. About the new payment models that CMS is proposing. And additionally, you allow CMS to do some modeling with the data available to them on how these payment models would play out. At this point in time, there's no financial commitments. CMS is not asking for a financial commitment until they have more information about the payment model. However, the first provider infrastructure payments are supposed to go out in the first quarter of next year. So, we're working with CMS to get some information on what those will look like. Those payments are to help providers prepare for getting the value-based payment. So, it could be building out their data infrastructure. It could be building out a closed-loop referral system, anything of that nature. But we'll put out more information about that soon. And then the current value-based payment model, which is not set to go into effect next year, but the year after, is set up as an episodes of care model. It is distinctly different from the one we had before. Because I did tell CMS we would need to be able to articulate that. It focuses on the whole pregnancy and all providers involved in that pregnancy, not just on what's happening at the hospital. And there's an emphasis on what happens in the pre- and postnatal periods of that pregnancy. They're doing the infrastructure payments along with it. And it is not asking us to put back in a global payment model. So that is where we are with the Transforming Maternal Health. And again, no providers have to agree to do the PIP or value-based payment until we have more information. Thank you. As of Monday, I believe yesterday, we had 7,440 women enrolled through presumptive eligibility since December of last year. So that's going really well. We're working with the Health Department to make them a qualified entity so that when women go to the Health Department to receive maternal health services, the Health Department can go through a short questionnaire with them. And they'll be able to determine them presumptively eligible. So we're excited about that too. Initially, the health department wasn't sure they wanted to do that, but they're already helping those women become fully eligible for Medicaid, so they saw this as an easy step for them to take. And I'm happy to answer any questions.
Committee chair (Public Health, Welfare, and Labor Committee)
Great. I don't see any right now, but I've got a few. Do you have a number of how many women are going to the local health units? I mean, how effective is that campaign being to get women to utilize that resource?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I don't have a number of that. I'm happy to reach out to Ms. Cochran and get that number for you. And we can also find out how many billings we get. But I don't have that number.
Committee chair (Public Health, Welfare, and Labor Committee)
And I'm curious as well, you know, we— you guys do that report on women getting transferred from, you know, becoming medically frail or whatever we call medically frail. And I think we're saying about 45% of women are getting transferred. Last report I checked, I know we've got another report coming out in a day or two. I didn't know if you had any new updated numbers on how many women are getting coverage transferred and how many are not?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
The postpartum report? Yeah, absolutely. I don't have anything updated. I mean, I've checked with Director Franklin right before I came here, and she said she's expecting the next quarter report tomorrow. Okay. So it's not out today. So I have last quarter's report, but I don't have the new numbers.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. I'm curious too, you know, a year ago, I think we were in Texarkana. I'd asked the question, as these premiums go away, And of course, now that Our Homes is going away, that was a substantial amount of women were getting transferred to plans like that. And of course, for the women between 138 and 210 who were in that gap, you know, obviously it was, well, they should just go buy a plan that's getting subsidized. Now those plans are no longer being subsidized, and now the Our Home plan isn't existing either. Do we have a plan for those women right now who are, you know, basically in this area of concern?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
So our focus has been on what to do about the Our Home population itself right now. We continue to evaluate our policies, but no decisions have been made about that yet. So no.
Committee chair (Public Health, Welfare, and Labor Committee)
Okay. Do we know how many women will be affected by that?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
How many are falling into that?
Committee chair (Public Health, Welfare, and Labor Committee)
Yeah, with— especially with Our Homes going away.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
The only number I would have for you is the one off this report. That is the over-household income. Which is the 535 or 26%, and that's last quarter.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. But if I understand correctly, what you're saying is the plan for those women will ultimately be determined by the plan of what we do with the Our Homes population, whether—
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Well, I mean, we are evaluating all our policy options right now for the Our Homes population, and then any attendant consequences of those decisions would be examined after we make a decision on what to do.
Committee chair (Public Health, Welfare, and Labor Committee)
Gotcha. But even the women who are falling in between that gap who, you know, the notion was that they should just go and buy these subsidized plans, now that those are no longer subsidized, I mean, are we looking to do anything to help out that population?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
No decisions have been made on that at this point.
Committee chair (Public Health, Welfare, and Labor Committee)
Have there been any policy suggestions one way or the other on how to handle that population?
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
I mean, we get many policy suggestions, so we have received many policy suggestions to consider. We consider all of them, but no decisions
Committee chair (Public Health, Welfare, and Labor Committee)
Okay. So just everything's on the table in that regard? Right now. Okay. All right. Okay. Any other questions on that? All right. Thank you for the update. I appreciate the information. I think there's a lot of questions we had that you're going to get back with the committee. We'll share with the whole committee. I'll actually ask staff to share with the public health Committee at large. I think a lot of them have a lot of shared interest in this as well. And, you know, obviously there's going to be a lot of big decisions made in this coming session. So I think it's just good for us to start thinking about it and figuring out what we can do, what we can't do. And so I appreciate being here and answering our questions and giving us an update. So these are big, big issues.
Elizabeth Pittman (Arkansas DHS, Division of Medical Services)
Thank you for your time today.
Committee chair (Public Health, Welfare, and Labor Committee)
All right. Do I have a motion to adjourn? All right. We are adjourned.