This amendment clarifies that the Director of the Department of Planning and Budget (DPB) has the authority to appropriate additional federal Medicaid revenue for current services as provided for in the American Rescue Plan Act of 2021 (ARPA). This action ensures that federal support for existing Medicaid programs can flow without interruption, including any increases needed to support increases in federal matching percentages. In addition, language is added to prohibit any expansion of Medicaid programs or benefits with regard to the ARPA funding without General Assembly approval. State funding must also remain unspent until reauthorized and appropriated by General Assembly action.