Amend CSHB 2913 as follows:
      (1)  In SECTION 3 of the bill, at the end of added Section
533.001, Government Code (Senate Committee Printing, page 2,
between lines 28 and 29), add the following:
            (7)  "Health care service region" or "region" means a
Medicaid managed care service area as delineated by the commission.
      (2)  In SECTION 3 of the bill, in added Section 533.002(5),
Government Code (Senate Committee Printing, page 2, lines 44-47),
strike ", other than managed care organizations created by
political subdivisions with constitutional or statutory obligations
to provide health care to indigent patients,".
      (3)  In SECTION 3 of the bill, in added Section 533.005(6),
Government Code, after the semicolon (Senate Committee Printing,
page 3, line 59), strike "and".
      (4)  In SECTION 3 of the bill, at the end of added Section
533.005(7) (Senate Committee Printing, page 3, line 67), strike the
period and substitute "; and".
      (5)  In SECTION 3 of the bill, between added Sections 533.005
and 533.006, Government Code (Senate Committee Printing, page 3,
between lines 67 and 68), insert the following:
            (8)  a requirement that the commission, on the date of
a recipient's enrollment in a managed care plan issued by the
managed care organization, inform the organization of the
recipient's Medicaid recertification date.
      (6)  In SECTION 3 of the bill, between added Sections 533.007
and 533.008, Government Code (Senate Committee Printing, page 5,
between lines 18 and 19), insert the following:
      Sec. 533.0075.  RECIPIENT ENROLLMENT. The commission shall:
            (1)  encourage recipients to choose appropriate managed
care plans and primary health care providers by:
                  (A)  providing initial information to recipients
and providers in a region about the need for recipients to choose
plans and providers not later than the 90th day before the date on
which the commission plans to begin to provide health care services
to recipients in that region through managed care;
                  (B)  providing follow-up information before
assignment of plans and providers and after assignment, if
necessary, to recipients who delay in choosing plans and providers;
and
                  (C)  allowing plans and providers to provide
information to recipients or engage in marketing activities under
marketing guidelines established by the commission under Section
533.008 after the commission approves the information or
activities;
            (2)  consider the following factors in assigning
managed care plans and primary health care providers to recipients
who fail to choose plans and providers:
                  (A)  the importance of maintaining existing
provider-patient and physician-patient relationships, including
relationships with specialists, public health clinics, and
community health centers;
                  (B)  to the extent possible, the need to assign
family members to the same providers and plans; and
                  (C)  geographic convenience of plans and
providers for recipients; and
            (3)  retain responsibility for enrollment and
disenrollment of recipients in managed care plans, except that the
commission may delegate the responsibility to an independent
contractor who receives no form of payment from, and has no
financial ties to, any managed care organization.
      (7)  In SECTION 3 of the bill, in added Section 533.008,
Government Code (Senate Committee Printing, page 5, line 19),
between "GUIDELINES." and "The", insert "(a)".
      (8)  In SECTION 3 of the bill, at the end of added Section
533.008(4), Government Code, after the semicolon (Senate Committee
Printing, page 5, line 32), strike "and".
      (9)  In SECTION 3 of the bill, at the end of added Section
533.008(5), Government Code (Senate Committee Printing, page 5,
line 34), strike the period and substitute "; and".
      (10)  In SECTION 3 of the bill, between added Sections
533.008 and 533.009, Government Code (Senate Committee Printing,
page 5, between lines 34 and 35), insert the following:
            (6)  face-to-face marketing at public assistance
offices by managed care organizations or agents of those
organizations.
      (b)  This section does not prohibit:
            (1)  the distribution of approved marketing materials
at public assistance offices; or
            (2)  the provision of information directly to
recipients under marketing guidelines established by the
commission.
      (11)  In SECTION 3 of the bill, in added Section 533.009(a),
Government Code, between "diabetes" and the period (Senate
Committee Printing, page 5, line 40), insert ", and use outcome
measures to assess  the programs".
      (12)  In SECTION 3 of the bill, after added Section 533.010,
Government Code (Senate Committee Printing, page 5, between lines
48 and 49), insert the following:
      Sec. 533.011.  PUBLIC NOTICE. Not later than the 30th day
before the commission plans to issue a request for applications to
enter into a contract with the commission to provide health care
services to recipients in a region, the commission shall publish
notice of and make available for public review the request for
applications and all related nonproprietary documents, including
the proposed contract.
      (13)  In SECTION 3 of the bill, between added Subchapters A
and B, Chapter 533, Government Code (Senate Committee Printing,
page 5, line 49), strike "Sections 533.011-533.020 reserved for
expansion" and substitute "Sections 533.012-533.020 reserved for
expansion".