HB 1002 would require the Department of Community Health to transfer Medicaid coverage for foster children from managed care to the fee-for-service (FFS) Medicaid program upon expiration or renewal of the current care management organization contracts. The provision includes an automatic repeal date of December 31, 2028. Foster children have complex, trauma-informed care needs that may be better served through direct access to any Medicaid provider rather than through the more restricted provider networks of Georgia’s Medicaid insurance companies. However, foster children in managed care currently have care coordination services built into their coverage; FFS Medicaid does not inherently include care coordination, which could result in fragmented care. Additionally, the bill does not address how DCH will ensure continuity of care during the transition or what happens after the 2028 repeal date.