This amendment modifies the quarterly meeting created to increase oversight of Medicaid expenditures as compared to the official Medicaid forecast. The language eliminates the Secretary of Administration and the Joint Commission for Health Care in order to limit the meeting to the parties with the most interest in tracking the program. In addition, the Department of Medical Assistance Services is directed at each quarterly meeting to include any information on changes to managed care programs that may have an impact on the overall fiscal impact of the programs. The department is also required to report on the Discrete Incentive Transition Program and overall trends in managed care trends.