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Question 24.

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Was every plan signed
through informed consent by

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the participant and by the
people responsible for...?

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The 2023 report raises
a concern, not a

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finding.

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People served:

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Plans must support informed
participation, accessible language,

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consent, signatures, distribution,
risk planning, and review.

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David Medeiros:

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Documenting plan failures may
support petition or anti-retaliation

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theories, but protected activity
and causation need proof.

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ABI Resources:

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ABI may hold contract
or process interests;

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a missing plan does not
automatically become ABI's

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constitutional injury.

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Constitutional claims
need state action;

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beneficiary choice does not
guarantee ABI referrals or

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a contract.

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Classify the issue
before choosing a remedy.

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Preserve every plan version,
signature, delivery receipt,

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authorization, revision,
and back-up strategy.

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Apply Constitution, statute,
regulation, contract, then record.