The entire spine character is drawn in one call, but it should be loaded in the order they are to be drawn, but that is something to investigate.
It seems to only happen when changing animation and a bone switches sort based on the animation. For example, the arm is sorted below the coat when forward and behind the coat when right.
OK, figured this out. I was building the render mesh once and I need to do it every frame. Thanks for the tip-off.