Amend CSHB 1 in Article II by adding the following
appropriately numbered rider after the appropriations to the Health
and Human Services Commission:
_______.  REQUIRED PARTICIPATION OF CERTAIN MANAGED CARE
ORGANIZATIONS IN COMMUNITY-WIDE NEEDS ASSESSMENTS.  Contingent on
the enactment of  HB 2384 or similar legislation requiring
nonprofit hospitals to consult with certain entities in determining
the community-wide needs assessments required under Section
311.044(b), Health and Safety Code, a managed care organization
that participates in the state Medicaid program and whose input and
participation in determining the community-wide needs assessment
are sought by a nonprofit hospital under that legislation must
participate in the needs assessment to continue to participate in
the Medicaid program.