SB 2331 establishes the Managed Care Consumer Choice Program, allowing managed care organizations (MCOs) to contract with the state for Medicaid services if they meet certain performance and financial criteria. It requires the Health and Human Services Commission to issue requests for applications and ensure recipients can choose from multiple MCOs in their service area. The bill sets quality and performance measures for MCOs and phases in implementation, with STAR and CHIP program contracts beginning by September 1, 2027, and STAR Kids and STAR+PLUS contracts by September 1, 2030​.