DES MOINES, Iowa (AP) — Governor Terry Branstad’s effort to privatize Iowa’s Medicaid program continues to move forward, though critics are raising questions about the projected cost savings, how contracts have been awarded and just how this will impact patients.

On Tuesday, a legislative oversight committee will hold the first of two scheduled hearings to review the privatization plans.

Branstad says the move to private management will mean more streamlined service at a lower cost, but some involved in the Medicaid system and patients are questioning whether they will still get the care they need.

Iowa’s Medicaid program provides care to poor children, families and disabled people, as well as some low-income adults. It is funded with $4.2 billion in state and federal dollars.