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."