This amendment adds additional information to be included in the annual November 1 forecast of Medicaid expenditures. The amendment also eliminates an unnecessary quarterly report and replaces it with a report on managed care expenditures in Medicaid to improve reporting on program spending. In addition, an annual report is created to track the costs or savings of changes to services and eligibility made to the Medicaid and FAMIS programs for at least five-years in order to provide better data on how those changes impact expenditure trends over time.