Beginning in 2011, seniors and persons with disabilities (SPDs) in 16 counties with Medi-Cal fee-for-service had to choose a managed care plan or be assigned to one. Seventy to 80% say that the health services in managed care plans are just as good or better than those from fee-for-service caregivers, according to a survey by University of California, Berkeley. Those who had the most difficult transitions were SPDs who are in the worst health and those with functional and cognitive impairments. People were more likely to experience challenges if they rated their health as poor; had activity and mobility limitations; had difficulty reading health care materials; or were African American, Latino, or older than 65. For more information, visit www.chcf.org.