Relates to the appointment of the state medicaid director

This bill changes how the state Medicaid director is selected, requiring the governor to appoint the official with the Senate's approval. Under the new rules, the Senate must confirm the nominee before the person can officially take the role. The change applies to appointments made on or after January 1st of the year following the bill's enactment. This process ensures that both the executive and legislative branches have a role in choosing the head of the Medicaid program.