Florida is among the first states to implement Medicaid reform using a competitive consumer choice model. Using data from a 2006-07 survey of Medicaid beneficiaries newly enrolled in Floridas reform program, in an October volume of Health Affairs, Terri Coughlin, Sharon Long and Tim Triplett and colleagues examine how well Florida Medicaid beneficiaries understood the many changes taking place in Medicaid and their experiences in selecting a health plan. They found significant gaps in beneficiaries understanding of major components of the reform. Among others, about 30 percent were not aware they were enrolled in reform and more than half had trouble understanding plan information. Additionally, they found that these problems were not particular to any group but instead were experienced broadly across the full Medicaid population.