Under current law, most MA enrollees who are eligible as families and children, adults without children, and persons over age 65 are required to enroll in MA managed care and receive services from HMOs and county-based purchasing plans. Persons with disabilities are required to enroll in MA managed care, but may opt out and receive services under fee-for-service. This bill requires DHS to provide all persons currently required to enroll in MA managed care with the opportunity to opt out and receive care under fee-for-service.