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".