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Advocates for the poor expressed concern that private insurers may deliver fewer services.

"I'm not opposed to what we call 'care management,' " said Karen Woodall of the Florida Center for Fiscal and Economic Policy, a think tank and advocacy group for low-income Floridians.

"Our concerns are related to managed-care entities that are for-profit HMOs. We continue to be concerned about any proposals that would push a greater number into for-profit HMOs."

That led activist Woodall to question where that money would be made up.

"We think that's great," she said. "But it's pretty expensive. If you're planning to save money, and you're going to increase those reimbursement rates, the only place left to get any savings is reducing benefits. And that's our concern.

Read the story in The Tampa Tribune.