This bill establishes a managed care program for all covered MaineCare services. It requires the Department of Health and Human Services to issue a request for proposals for at least 3 managed care organizations that are able to operate the managed care program on a statewide basis. By July 1, 2025, the Medicaid expansion population, those covered by the children’s health insurance program and members categorically eligible for the Temporary Assistance for Needy Families program must be enrolled in the managed care program. By July 1, 2027, all eligible MaineCare members must be enrolled in the managed care program. The bill establishes the requirements for contracts for managed care organizations. It requires the Department of Health and Human Services to apply for any state plan amendments or waivers required by January 1, 2024. It requires the department to explore options to create a plan that integrates Medicaid and Medicare benefits for individuals into a managed care program.