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Choices for Care: nursing-home pressures, ARRIS contract and staffing concerns raised
Summary
Committee members heard Choices for Care line-item pressures — a nursing-home Medicaid bed-day pressure of $9.6 million and $5.5 million in inflationary increases — and discussed payroll contractor ARRIS, wages and contracting. Staff said the ARRIS contract went out to bid and the new award begins soon.
Lawmakers probed specific pressures inside the Choices for Care appropriation and asked how contract and wage negotiations affect direct-care capacity.
DAIL staff reported Choices for Care FY26 base appropriation near $346–347 million and listed several FY27 changes: a nursing home inflationary increase of roughly $5.5 million, nursing-home Medicaid bed-day pressure estimated at $9.6 million, and a home and community-based caseload pressure of a little over $1…
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