On December 12, 2024, the Medicaid and CHIP Payment and Access Commission (MACPAC) held the first day of its December 2024 public meeting. The commission discussed potential actions to enhance oversight of Medicaid managed care, draft recommendations for improving external quality review of managed care, policy options related to transitions of care for children and youth with special health care needs, and potential areas for comment on the proposed Medicare Advantage (MA) and Part D rule for contract year 2026 (CY26).