Amend the Coleman amendment to CSHB 3258 as follows:
      (1)  On page 5, line 3, strike ", including services listed
in Section 533.008(2)(D)".
      (2)  On page 5, strike lines 18-20 and substitute the
following:
            (1)  is created by:
                  (A)  a political subdivision with a
constitutional or statutory obligation to provide health care to
indigent patients; or
                  (B)  a nonprofit corporation that has a contract,
agreement, or other arrangement with a political subdivision
described by Paragraph (A) under which the nonprofit corporation
assumes that political subdivision's obligation to provide health
care to indigent patients and leases, manages, or operates a
hospital facility owned by that political subdivision;
      (3)  On page 6, between lines 3 an 4, insert the following:
      (c)  If a political subdivision described in Subsection
(a)(1)(A) has entered into an agreement with the state to provide
funds for the expansion of Medicaid for children as authorized by
Chapter 444, Acts of the 74th Legislature, Regular Session, 1995,
the commission may not contract with a managed care organization
described by Subsection (a)(1) unless the political subdivision
fulfills its obligation under the agreement to provide those funds.
The commission shall make the provision of those funds under the
agreement a condition of the continuation of the contract with the
managed care organization for the organization to provide health
care services to recipients. 
      (d)  Subsection (c) does not apply if:
            (1)  the commission does not expand Medicaid for
children as authorized by Chapter 444, Acts of the 74th
Legislature, Regular Session, 1995; or
            (2)  a waiver from a federal agency necessary for the
expansion is not granted.
      (4)  On page 8, line 7, strike "and".
      (5)  On page 8, strike lines 8-9 and substitute the
following:
                  (B)  each accredited primary care residency
program in the region; and
                  (C)  each disproportionate share hospital
designated by the commission as a statewide significant traditional
provider.
      (6)  On page 10, strike lines 19-27.
      (7)  On page 11, strike lines 1-27.
      (8)  On page 12, strike lines 1-11.
      (9)  On page 12, line 12, strike "Sec. 533.009." and
substitute "Sec. 533.008.".
      (10)  On page 13, line 1, strike "the".
      (11)  On page 13, line 2, strike "Sec. 533.010." and
substitute "Sec.  533.009.".
      (12)  On page 13, line 11, strike "Sec. 533.011." and
substitute "Sec. 533.010.".
      (13)  On page 13, line 16, strike "533.012-533.020" and
substitute "533.011-533.020".