Question 47. Were policy changes issued, approved, dated, and communicated before the disputed services began? The 2023 report raises a concern, not a finding. People served: A covered service decision may require informed choice, conflict safeguards, accessible notice, and a fair hearing. David Medeiros: Questioning authority or transitions may be protected advocacy, but government action and causation remain essential. ABI Resources: ABI may enforce actual contracts or process rights; it has no presumed property right in referrals or waiver placement. Constitutional claims need state action; beneficiary choice does not guarantee ABI referrals or a contract. Classify the issue before choosing a remedy. Preserve waiver terms, amendments, authorizations, assessments, consultation notes, billing codes, notices, and appeals. Apply Constitution, statute, regulation, contract, then record.