The Senate Special Committee on Aging held a hearing about proposals being considered by the Medicare and Medicaid Coordination Office (MMCO) within the Centers for Medicare and Medicaid Services (CMS) designed to integrate and coordinate care for individuals who are dually eligible for both Medicare and Medicaid (Duals). Twenty-six states have submitted financial alignment proposals to CMS that could move as many as 2 million Duals into demonstration programs. Senators asked about some states’ requests to enroll people into managed care plans without asking them if they wanted to join. MMCO Director, Melanie Bella, said that states must allow people to leave the managed care plans and enroll in another plan or in regular Medicare. Senators also raised concerns about whether managed care plans had the necessary expertise to provide services for Duals.