Committee Summary for Committee to Study Long-Term Managed Care (10/27/2025)

Bill/Time	Type	Title	Sponsor
Unclear 00:03:28.959 - 9:02:10 AM	General Working Session	Unclear

Unclear: Chairman Cole Information Only00:03:28.959 - 9:02:10 AM; The chairman calls the meeting to order for the committee studying long-term managed care, approves the minutes of the previous meeting, and discusses the preliminary report issued to relevant parties. He presents a draft for the final report, outlining four potential options: maintaining status quo, adopting DNIP, adopting HCBS carveout model, and full managed care for aging population, while excluding ABD and developmental disabilities. He recommends adopting DNIP voluntarily to integrate benefits for dual eligibles, reduce duplication, and facilitate future managed care transitions. He notes challenges from OB3 changes, mixed results in other states, and bandwidth issues at HHS due to federal program changes. He is open to majority/minority opinions.
Unclear: Committee Member (Unnamed) Support00:07:05.120 - 9:05:47 AM; The member concurs with the chairman's recommendations, finding them sensible.
Unclear: Committee Member (Unnamed) Information Only00:07:05.120 - 9:05:47 AM; The member agrees with the recommendations but asks about a previous question regarding federal budget incentives for DNIP and whether Director Lipman responded.
Unclear: Henry L., Director Information Only00:08:23.759 - 9:07:05 AM; Director Henry L. states that the OB3 bill does not specifically address incentives for DNIP, but rural healthcare transformation funding provides incentives for states to address dual eligibles. He confirms that the recommendation aligns with ongoing explorations and managed care contracts, allowing the state to move in that direction with appropriate notice.
Unclear: Committee Member (Unnamed) Support00:09:13.920 - 9:07:55 AM; Having heard the responses, the member agrees with the majority report.
Unclear: Chairman Cole Support00:09:13.920 - 9:07:55 AM; The chairman thanks Director Litman and invites further comments. He supports DNIP as a good step for integration, emphasizing the need for MCOs to align Medicare and Medicaid under the same insurer, considering federal deadlines and implementation runway.
Unclear: Chairman Cole Information Only00:10:34.000 - 9:09:16 AM; The chairman discusses PACE, noting its feasibility mainly in populous areas like the southern tier. He expresses neutrality on PACE due to mixed feedback and sees DNIP as a less disruptive step amid departmental changes from federal disruptions. He clarifies DNIP as integrating Medicare and Medicaid benefits initially, stresses voluntary enrollment (opt-in or opt-out options), and notes no states mandate it. He mentions a proposed timeline but defers aggressiveness to future discussions. Regarding PACE, he suggests more study on county risks (e.g., Hillsboro County), risk-sharing with the state, and competition with Medicaid program size for maintaining three MCOs. He notes rural PACE models exist but involve similar risks without physical structures.
Unclear: Committee Member (Unnamed) Information Only00:11:47.120 - 9:10:29 AM; The member seeks clarification on the DNIP flavor, confirming integration of Medicare and Medicaid benefits without adding more initially.
Unclear: Director Litman (or Henry L.) Information Only00:11:47.120 - 9:10:29 AM; The director indicates less concern with implementation details, prioritizing voluntary participation, and notes the proposed timeline.
Unclear: Chairman Cole Support00:14:10.000 - 9:12:52 AM; The chairman emphasizes ensuring adequate patient choice with three MCOs, noting DNIP makes their model more viable, increases choice and state leverage, and optimizes federal dollars, which is critical amid concerns in other committees like the Medicaid committee.
Unclear: Committee Member (Unnamed) Support00:15:18.160 - 9:14:00 AM; The member agrees with all comments.
Unclear: Committee Member (Unnamed) Information Only00:16:24.800 - 9:15:06 AM; No further proposed changes or comments from the member; concurs the committee is good to proceed.