Amend CSSB 1246 as follows: In Article 20C.14 (committee printing, page 4, line 31) insert a new subsection (c) to read as follows: "(1) As a requirement of participation in any state contract, the system must satisfactorily address the qualifications for arranging to provide health care services to beneficiaries of certain governmental health care programs as delineated in the contractor's request for proposal, including: (i) readiness reviews and adequacy of credentialing, medical management, quality assurance, claims payment, information management, provider and patient education, and complaint and grievance procedures; and (ii) adequacy of physician and provider networks, including such factors as diversity, geographic accessibility, inclusion of physicians and other providers that have furnished a significant amount of Medicaid or charity care to beneficiaries, and tertiary and subspecialty services; (2) The system shall be reimbursed by the Medicaid contracting agency as the state-defined capitation rate for each service area in which the system operates. (3) It is not a condition of participation for the system to accept from the Medicaid contracting agency a capitation rate which is lower than the state-defined capitation rate for each service area in which the system operates."