Yet it was McKinsey’s link to another expenditure that raised the most concern. Norwood, with McKinsey’s guidance, arranged to pay $63 billion—the largest procurement in state history—to seven managed care companies to administer and pay for medical services through the expanded Medicaid program. The expenditure bypassed legislative oversight, a decision that Mendoza said was grossly misguided. “That means this proposal is not afforded the same independent oversight as, say, a contract to purchase paper clips,” she said.

