This amendment adds language requiring more detailed reporting of Medicaid expenditures on a monthly basis to the Department of Planning and Budget and the Chairs of the House Appropriations and Senate Finance and Appropriations Committees. Current language in Chapter 2, 2024 Special Session I, requires monthly expenditure reports on the Medicaid program. This language would require service level detail to be included. Language directs DMAS to report on cost-effectiveness strategies for the Medicaid and the children's health insurance programs. Language also requires a fiscal analysis of policy or programmatic changes to the Medicaid and children's health insurance programs and restricts implementation unless funding is authorized through an appropriation by the General Assembly, a statutory requirement or federal law. In addition, language is added to provide greater transparency of Medicaid policy and programmatic changes on the Department of Medical Assistance Services' website.