Video & Transcript : 'P3 contract' :

Page 68 of 500
OK
Transcript Highlights:
  • I added up the first 3 deliverables, and that is over half of the contract.
  • just curious if you can remember how that contract was formed.
  • Do you remember any type of clause in that contract?
  • It took another 8 months to actually get a contract. They would not sign a contract.
  • I believe since that time, we have we did get a contract.
CA
Transcript Highlights:
  • CBA's members contract with state and local health… …district.
  • CBA's members contract with state and local agencies to support health care services for communities
  • Advance pay has been proven to help reduce the expense and the stigma associated with contracting with
  • Improving how state government contracts with nonprofits should be a top priority. I don't know.
  • Improving how state government contracts with nonprofits should be a top priority.
Summary: The Governmental Organization Committee heard a series of bills focused largely on alcohol licensing, nonprofit funding, tribal grants, public transparency, and tobacco policy. AB 342 (Haney) would allow local governments to create hospitality zones with extended last-call hours on certain days; supporters argued it would boost tourism, nightlife, and major-event readiness, while opponents warned of alcohol-related harms and public safety risks. AB 684 (Patel) would subject the UC Board of Admissions and Relations with Schools to open-meeting requirements, with supporters saying admissions-related changes should be more transparent and allow schools time to adjust. AB 1008 (Addis) would authorize up to 10 new on-sale general licenses in San Luis Obispo County to meet tourism demand, and AB 1039 (Hart) would require state agencies to offer advance payments on new nonprofit grants and contracts, which supporters said would help cash-strapped nonprofits deliver services. AB 221 (Ramos) would revise the Tribal Nation Grant Fund to provide more predictable annual distributions to eligible non-gaming and limited-gaming tribes, and it drew broad support from tribal representatives and others. AB 795 (Jeff Gonzalez) would create a California commission for the nation’s 250th anniversary celebration, with supporters describing it as a privately funded, nonpartisan planning body. AB 828/AB 28 (Mark Gonzalez, as referenced in the transcript) would expand neighborhood-restricted liquor licenses in Los Angeles County to reduce costs and support restaurant recovery, and AB 1246 (Hoover) would increase craft distillers’ direct sales limits and address barrel-storage rules; both were supported as small-business measures. AB 1428 (Ta) would require reporting of all surplus and underutilized state land, and AB 957 (Ortega) would prohibit tobacco sales in pharmacies, with strong public health support. Several bills were voted out on motions to Appropriations, some with amendments, while others were held or left on call until quorum was established; the committee also adopted a consent calendar and left rolls open for absent members on multiple measures.
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Jan 14th, 2026

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • Contract guardians are at $28 an hour."
  • are at $28 an hour, what is the difference between the school board and contract guardian?
  • And then we had agency employees, contract nursing, and you have to pay them quite a bit more.
  • Contract guardians are at $28 an hour. an hour. Contract guardians are at $28 an hour.
  • And then we had agency employees contract nursing, and you have to pay them quite a bit more.
FL
Transcript Highlights:
  • Of high legislative interest or priority to designing complex research projects to providing contract
  • And then another example would be our private prison contract reports.
  • When a private prison contract is up for bid, then that would be what triggers an OPAGA report.
  • And then another example would be our private prison contract reports.
  • When a private prison contract is up for bid, then that would be what triggers an Opaga report. would
Summary: The Joint Legislative Auditing Committee met to receive annual overviews of its oversight responsibilities and the work of the Auditor General and OPAGA. Committee staff reviewed the committee’s authority over state and local governments, enforcement of audit-report filing requirements, repeated audit findings, Transparency Florida reporting, and lobbying compensation audits. Auditor General Cheryl Norman described her office’s independence, audit standards, quality control, and major audit areas, including the state’s annual financial and single audits, school district and university audits, operational and performance audits, and attestation work. She also noted staffing shortages, recruitment efforts, and a request for carry-forward funds to study salaries. Members asked about whether audits can quantify recoverable dollars, how school district spending comparisons are handled, and how to raise concerns about DCF-related audits or a local city audit that has been pending for years. Norman said her office can quantify findings when possible, sometimes compares costs across districts in operational audits, and that members can bring specific concerns to the appropriate deputy auditor general or the committee. She also explained that citizen or local-government audit requests may require payment of audit costs. OPAGA Coordinator Kara Collins-Gomez outlined OPAGA’s role as a legislative research unit that conducts studies directed by law, the presiding officers, or the committee, and described its policy areas, methodologies, contract monitoring, and recurring statutory reports. Deputy Auditor General Matthew Tracy explained how to read operational audit reports, including findings, criteria, condition, cause, effect, recommendations, and management responses. Deputy Auditor General Greg Senators explained financial audit reports, including audit opinions, required supplementary information, internal control and compliance findings, federal program compliance, and management letters. The meeting concluded with thanks to the presenters and a motion to adjourn, which passed without objection.
VA

Virginia 2026 Regular Session

Code Commission Jun 3rd, 2026

Transcript Highlights:
  • So the last contract that we signed was on the 14th of May of...
  • So our recommendation is to extend the contract for a three-year period. ...is to extend the contract
  • And so, and this contract costs us nothing, right? All right.
  • And so, and this contract costs us nothing, right? It costs us nothing.
  • Wade is that we extend the contract. Is there a second? Second.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 25th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • amendment modifies the covered entity reporting requirements by specifying that payments made to contract
  • Pool 261 by Representative Marshall prohibits a covered entity from entering into a contract with an
  • additional contract pharmacy unless that pharmacy is in a rural county or a medically underserved area
  • What this would do is limit entities that are contracting with additional contract pharmacies to ones
  • One of my biggest concerns... ...had the ability to contract with additional pharmacies.
Bills: SB5877
WA

Washington 2025-2026 Regular Session

House State Government & Tribal Relations Jan 20th, 2026 at 01:30 pm

State Government & Tribal Relations

Transcript Highlights:
  • if the contract is made by, through, or under the supervision of the municipal officer.
  • party is considered to only have a remote interest in the contract.
  • engaging in that contract under the Code of Municipal Conduct.
  • You could apply that same example over and over and over again to contracts, to leases, legislation.
  • This is a small fix for a small group of workers joining an existing contract.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Feb 24th, 2026

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • What other contracts or services from fiscal year 25 are we not funding in the supplemental?
  • We also tasked them with getting their house in order, and that included verifying contracts.
  • They had gone through over 850 contracts. Many of them were duplicative.
  • Many of them were... ...had gone through over 850 contracts.
  • So those contracts were cut in the middle of the fiscal year.
Summary: The Senate convened with a quorum, opened with prayer, and recognized the nurse of the day, Michelle Bradshaw, along with several gallery guests and pages. The chamber then took up Senate Concurrent Resolution 15, recognizing February 24 as World Spay Day to highlight pet overpopulation and the importance of spay and neuter programs; the resolution was adopted without debate. The main floor debate centered on House Bill 2786, a supplemental appropriation of $19,660,770 for the Department of Mental Health and Substance Abuse Services to close out FY25 and cover statutory and contractual obligations, including Medicaid/Title 19-related payments. Senator Kurt raised repeated concerns that the supplemental did not restore funding for substance use providers, uncompensated care, or crisis services that had been cut or left unpaid, while Senator Rosino argued the bill only covered amounts the state was legally required to pay and reflected the department’s verified needs. The Joint Committee report was adopted, and HB 2786 passed 38-10 and was then passed as an emergency measure. The Senate also passed House Bill 2787, a supplemental for the State Department of Health tied to legacy contracts associated with “Choosing Childbirth,” despite criticism from Senator Kurt that the money could have gone to direct mental health services. The chamber then advanced and passed Senate Bill 1525, raising the threshold for the Tourism and Recreation Department to contract with private entities for a tourism conference from $25,000 to $75,000, and Senate Bill 2011, adding contracted employees of county detention facilities to a protected class list. Senate Bill 2159, designating wheat as the official state crop, also passed. The Senate adjourned until Wednesday, February 25 at 1:30 p.m.
AL

Alabama 2025 Regular Session

Alabama House Boards, Agencies and Commissions Committee Feb 5th, 2025

Boards, Agencies and Commissions

Transcript Highlights:
  • They can share their resources with a negotiated contract, which runs for three years, at which time
  • worked under an emergency contract for...
  • There was one significant issue which also involved multiple emergency contracts. Oh, and so...
  • they were operating under emergency contracts.
  • They're paying their fees, and the only issue was that emergency contract.
Bills: HB25 , HB108 , HB109 , HB111 , HB112 , HB113 , HB117 , HB118 , HB119 , HB120 , HB121 , HB122 , HB124 , HB126 , HB127 , HB128 , HB129 , HB130 , HB131 , HB25
ID

Idaho 2026 Regular Session

Mar 23rd, 2026

Transcript Highlights:
  • And I guess a question that is uncertain: we've sent that contract to the Attorney General's office for
  • review, just as we would any contract, to make sure it has all the elements of a contract for the state
  • and whether someone's paid or not, is who has the authority ultimately to sign the contract?
  • The other part, just as a quick update, so we have the contract piece, but things are coming together
  • We're just trying to get the contract piece nailed down and then start moving forward with the logistics
Summary: The America 250 Council met to approve prior minutes and receive updates on commemorative fund finances, the celebration fund, and several planning efforts tied to Idaho’s America 250 observance. Staff reported returned or pending reimbursements, a donation for Liberty Bell restoration, and that the celebration fund would likely have about 7% remaining after pending grants are approved. The committee approved the March 13, 2026 minutes without objection. Members then approved $12,992 to fund commemorative “I Voted” stickers for the primary and general elections, with Secretary McGrane describing them as a way to reach many Idahoans and highlight the America 250 commemoration. The council also discussed the upcoming America 250 Capitol Celebration, including naming, vendor contracts, logistics, and the need for legal guidance on who has authority to sign contracts. Treasurer Ellsworth and others requested that an Attorney General’s office representative, identified as Yvonne, come to a future meeting to clarify the contracting process. Additional updates covered the ambassador program, service challenge participation, quilt displays, the Declaration of Independence rotunda display, and the Liberty Bell carriage and school fundraising materials. Director Gallimore reported on the “Surveying the Past, Mapping the Future” event at Initial Point and the Old Pen, and noted website/calendar changes to align local events with the federal America 250 calendar. The committee also approved a large slate of grant disbursements to cities and counties, and tentatively scheduled the next meeting for April 6 at 10:00 a.m. before adjourning.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/25/26

Human Services Finance and Policy

Transcript Highlights:
  • contract.
  • contract.
  • contract.
  • So uh contract term for Optum is a year.
  • So we wouldn't have an opinion contract.
Bills: HF3378
HI

Hawaii 2026 Regular Session

WAM-HWN, WAM-PSM, WAM-CPN Informational Briefings 01-08-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c> contract. We have a developer agreement. contract. We have a developer agreement.
  • </c><01:04:50.000><c> in</c> wasn't able to execute that contract in wasn't able to execute that contract
  • How much is that<01:22:36.800><c> contract?</c> that contract? that contract?
  • </c> portion is is she intends to contract portion is is she intends to contract that<01:23:46.000><c
  • </c> special project as well as the contract special project as well as the contract and<01:24:19.520
NH
Transcript Highlights:
  • </c><00:38:26.000><c> were</c> realized was funding contracts were realized was funding contracts were
  • No, but they benefit by approving the contract, right?
  • we scooped in um manufacturer contracts we scooped in um manufacturer service<01:21:56.199><c> contracts
  • Well, so who is responsible for those service contracts? Keith? Yes.
  • So John Deere has a service contract with a third party, or this is their service contract on their products
Summary: The committee heard testimony on HB 733-FN, a bill concerning third-party litigation financing (TPLF). Representative Cole, the prime sponsor, described TPLF as outside investors funding lawsuits in which they have no personal stake, arguing that the practice is largely unregulated, can involve foreign entities, increases litigation abuse, and contributes to higher insurance and consumer costs. He said the bill is modeled on an NCOIL proposal and would require disclosure of TPLF agreements, with guardrails and reporting requirements on specified pages of the bill. He also noted a couple of drafting fixes, including adding the word “knowingly” and incorporating a missing section later. Members raised questions about the bill’s foreign-entity language, especially the provision allowing a governor or the Department of Safety to designate a country as a threat to critical infrastructure. Representative Cole said he would have lawyers review that issue. Another member asked whether the bill would prohibit a party from obtaining outside funding for a lawsuit; Cole clarified that the bill is intended as a reporting measure, not a ban, and that disclosure would be required. He also said the bill is aimed at American citizens rather than foreign-backed financing, and that some states had considered caps on such arrangements, though this bill does not. Brandon Gratz of the Attorney General’s office testified that the enforcement language appears too limited, because it would allow only civil penalties and not broader Consumer Protection Act remedies such as injunctions or restitution. He suggested the Attorney General may not have meaningful authority under the bill as written and raised possible insurance-law issues. Commissioner D.J. Benton-Court of the Insurance Department said the disclosure could help insurers better assess risk and potentially soften the hard insurance market by improving transparency, competition, underwriting, innovation, and claims management. He also said the bill likely needs further work on jurisdiction and enforcement, and that the committee may need to coordinate with the Attorney General, Insurance Department, and possibly banking regulators. No vote was taken in the portion provided.
AZ

Arizona 2026 Regular Session

03/04/2026 - House Government

Government

Transcript Highlights:
  • So that bidder is going to get the contracts...
  • Medical referrals, by contract, which I have the contracts right down here, any initial placement, there
  • The only way they contract is by bed space.
  • These contracts and these procurement policies, these are all their contracts.
  • This original contract was executed in 2019. It's been amended 13 times on this one contract.
CA
Transcript Highlights:
  • Facilities contracts, etc.
  • I do I pulled this contract Let's get to some specifics here.
  • basically the program all in the $2.4 million vendor contract.
  • For every email or phone call, this contract, this no-bid contract with a left-wing advocacy group, costs
  • That's 1,020 divided by the contract. $352.94 to handle those.
MA
Transcript Highlights:
  • , for our contract for MAT, for our contract at Bridgewater State Hospital, for MassHealth, and the level
  • Okay, so that is the total health care contracts. Thank you.
  • The prison health care contract with VitalCore is $152 million.
  • complicate things too much, we have two contracts with Spectrum.
  • So those are distinct contracts.
Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.
AR

Arkansas 2026 Regular Session

HOUSE RULES Apr 15th, 2026

HOUSE RULES

Transcript Highlights:
  • We're trying to be sure that these type of business entities, again, they don't sign contracts, they
  • When you expand in one area, for whatever reason, you are going to contract in other areas.
  • The question was, it was a simple question: where are we going to contract?
  • It's going to contract other areas, and we're already seeing that.
  • So once these things keep increasing, it's going to expand and contract somewhere else.
Committee: All HOUSE RULES
Summary: The committee first considered House Resolution 1016, presented by Rep. Marcus Richmond, which sought permission to file a bill aimed at consumer protection in certain housing arrangements where buyers purchase an interest in an entity rather than the property itself. Richmond said the measure was intended to improve transparency, prevent deceptive real estate practices, and ensure disputes would be handled in Arkansas or federal courts rather than private tribunals. Members raised concerns about overlap with existing law, possible effects on homeowners associations, arbitration clauses, hunting clubs, religious organizations, and the bill’s 25-acre exemption. After discussion, the committee voted down the resolution. House Resolution 1006, by Rep. Bart Schultz, proposed increasing the homestead tax credit by $75, from $600 to $675, using a fund created for property tax relief. Schultz argued the increase was supported by the annual report on the fund and was timely because of higher costs for gas and groceries. Members asked about using special language instead, whether the increase could be made retroactive later, and whether the governor had included it on the call. The committee approved the resolution. The committee then heard House Resolution 1007, presented by Sen. Brian King and Rep. James Eaton, which would have changed how turnback sales tax revenue is distributed to counties, with the first $150 million of sales tax revenue going into a fund for county infrastructure and each county receiving an equal share. Supporters said it would help counties with roads, jails, water, sewer, and other critical needs, while opponents questioned whether taking revenue off the top would harm other state services and whether the issue was urgent enough for a fiscal session. The resolution failed. House Resolution 1008, by Rep. Jim Wooten and Sen. King, sought changes to the LEARNS Act and school choice funding, including performance-based eligibility and reporting requirements. Wooten argued the program was financially unsustainable and that accountability was needed; members questioned whether the proposal would create a larger emergency and whether it should instead be handled through budget language. The resolution failed after a point of order interrupted the closing remarks. Finally, House Resolution 1009, presented by Rep. Ron McNair and Sen. King, aimed to restore local control over crypto mines and data centers, citing concerns about water use, electricity demand, Chinese ownership, and litigation tied to prior legislation. Members questioned whether the issue was truly emergent and whether the resolution was the right vehicle. The resolution failed. House Resolution 1015, by Rep. Howard Beatty, proposed amending the prior IDA bill to address concerns raised by constituents, including board accountability and removing eminent domain authority. Supporters said it would improve the bill before next session, but the resolution also failed. The committee then adjourned.
WA

Washington 2025-2026 Regular Session

Senate Labor & Commerce Jan 20th, 2026

Transcript Highlights:
  • FUJ knows firsthand that union contracts benefit both farms and workers.
  • FUJ knows firsthand that union contracts benefit both farms and workers.
  • However, we've got this contract laboral, with a while we'll get this contract laboral, with a wage and
  • “It does not give the right to a union election or a union contract.
  • When they hired me, they just talked to me about the contract.
Summary: The committee first heard Senate Bill 6045, which would place agricultural employees under the Public Employment Relations Commission for collective bargaining, including card-check or election certification, bargaining duties, and interest arbitration. Staff explained the bill’s scope, exclusions, enforcement provisions, and fiscal note, and members asked about the domestic-violence privilege language, the fiscal impact, and implementation timing. Public testimony was sharply divided: labor and farmworker advocates said the bill would correct a historic exclusion of agricultural workers and improve wages, safety, and dignity, while growers and industry groups argued it would raise costs, create coercive card-check concerns, and risk disruptions during short harvest windows. The sponsor closed by saying the bill was a starting point and that she would continue working with stakeholders. The committee then took up Senate Bill 6188, an agency-request bill on asbestos training rules. Staff said it would remove a limit on Labor and Industries’ rulemaking authority so the agency could adopt additional training and certification requirements beyond those specifically required by federal law; the fiscal note showed no fiscal impact. The sponsor and L&I said the change would let the state strengthen worker safety around asbestos removal, while the Building Industry Association opposed it, warning about divergence from federal standards and added costs. The hearing then moved to Senate Bill 6053 on domestic workers, which would create statewide labor protections including minimum wage and overtime, written agreements, notice requirements, anti-discrimination protections, and enforcement by L&I and private actions. Testimony from domestic workers, advocates, and caregivers supported the bill as a needed extension of basic protections, while L&I noted implementation costs and technical amendments. Finally, the committee heard Senate Bill 5852 on immigrant workers and I-9 audits. Staff described requirements for employers to notify workers within 72 hours of a federal inspection notice, provide copies of results and correction timelines, limit voluntary access to records without a warrant or subpoena, and prohibit retaliation, with enforcement by the Attorney General and private lawsuits. The Attorney General’s office and supporters said the bill would add due process and transparency and reduce fear during workplace raids, while business, hospitality, county, and small-business representatives argued it could conflict with federal law, create heavy compliance burdens, and expose employers to severe penalties and lawsuits. No votes were taken in the transcript; the committee heard testimony and closed hearings on the bills discussed.
MN

Minnesota 2025-2026 Regular Session

Conference Committee on SF3045 5/12/25

Transcript Highlights:
  • The next item, state contracting preferences. Um the uh choice is to uh move the Senate side there.
  • </c> state procurement contracting. state procurement contracting.
  • </c> The next item, state contracting The next item, state contracting preferences.<00:03:51.280><c>
  • Uh, also, the next row, reorganization under a master contract.
  • ,</c> in their grants and contracts, in their grants and contracts, restarting<00:30:06.720><c> the</
FL

Florida 2025 Regular Session

February 11, 2025 - 03:30 PM

Transcript Highlights:
  • Second, we have the rollout of the new Medicaid managed care plan contracts.
  • AHCA re-procures those contracts every seven years, and the new contracts began this month.
  • The contract was executed in August of 2024 after it was awarded to FCC, with a go-live date of October
  • In addition, since February 1st, we have been awarded a contract that allows us to serve the general
  • Another thing that happens in this managed care model is because FCC has this contract with the agency
Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.