Families pressed Arkansas lawmakers on Oct. 2, 2026, to move faster on a Community and Employment Support (Medicaid waiver) waitlist of nearly 2,500 people, saying January 2027 relief is not soon enough. The Arkansas Advocate and the Northwest Arkansas Democrat-Gazette covered the joint House and Senate Public Health, Welfare and Labor committees hearing.

Gov. Sarah Huckabee Sanders and the Department of Human Services announced in September that Provider-Led Arkansas Shared Savings Entity (PASSE) plans would begin supportive living for waitlisted families by January, at about $17 million. That plan followed public pressure over the HCBS backlog for people with I/DD.

What DHS told the committees

Division of Developmental Disabilities Services Director Jennifer Brezée said Arkansas spent about $460.6 million on supportive living in 2025 and expects about $745.7 million in 2027, counting waitlist enrollees and a coming provider rate increase. Supportive living is the most-requested of four services PASSE does not currently offer waitlisted families, she said.

Melissa Weatherton, DHS director of specialty Medicaid services, told the Democrat-Gazette the $17 million comes from state reserve funds and covers people now on the list only through June 30, 2027. About $34 million would be needed to sustain the services through 2027, she said, without naming a source. Officials said the state share of added Medicaid cost is about 30%, with the federal government covering about 70%.

Brezée said about 150 people leave the waiver each year—creating the same number of openings—and that people at the top of the list have waited just over three years. Weatherton said the state gets 400 to 500 waiver applications a year and that DHS will ask the Legislative Council later this month to approve a customer-service vendor for a “one-stop shop” for beneficiaries.

Families and pay

Six relatives spoke during public comment, the Advocate reported. Some cut work hours or left jobs to provide care. Paid family caregivers through managed-care plans earn $11 an hour after a recent cut from $14, the Advocate reported. One father said his adult daughter has been on the waitlist since February 2004.

Why this matters for providers and DSPs

The September promise does not yet clear the CES slot cap; it adds supportive living on a short funding clock. Provider agency and PASSE teams should track when January service starts, what NOAs authorize, and how rates change as the 2027 budget season opens. Frontline managers and DSP supervisors will feel demand as families who waited years suddenly seek in-home hours—while DHS still warns the list refills after earlier clearances.