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Choices for Care: nursing-home pressures, ARRIS contract and staffing concerns raised

House Committee on Appropriations (Human Services) · February 5, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

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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