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As the 2011 Florida legislative session entered its final hours on May 6, the two chambers reached compromise language on two bills that significantly remake the state’s Medicaid program.

The discussions and subsequent legislation centered on the expansion of a pilot program initiated in 2006 by then-Gov. Jeb Bush that moved thousands of Medicaid recipients into managed care plans controlled by private insurance companies or medical provider networks. Since its inception, the project has been restricted to five of Florida’s 67 counties: Baker, Clay, Duval, Nassau, and Broward.

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