On Tuesday night, Sen Joe Negron, Chair of the Budget Subcommittee on Health and Human Services Appropriations, outlined the Senate's proposal to reform the state's Medicaid program. Sen. Negron noted that there are three goals of reform: quality, access, and cost. Under the proposal, every Medicaid recipient will have a primary care physician; managed care contracts will require a 90-percent medical loss ratio, as well as guaranteed savings and liquidated damages for contract breaches; Medicaid will be funded on a fixed amount determined each year by the Legislature; primary care physicians will be reimbursed at least 100 percent of Medicare rates (versus roughly 50 percent today); and individuals with developmental disabilities and seniors in nursing homes will be exempted from managed care. Anticipated savings from the reform effort include $1.033 billion in the first year, and $4.3 billion over four years. The reform proposal will be vetted by at least three committees. A brief overview of the proposal was provided in the Subcommittee on Health and Human Services Appropriations on Thursday; the committee will meet again on Wednesday, February 23 to continue the discussion.