Amend CSHB 1161 as follows:
      (1)  In SECTION 1.01, in added Section 403.1044(b),
Government Code (senate committee printing, page 3, lines 64-66),
strike "Except as provided by Subsection (e), a political
subdivision that has received a distribution under Section 403.1041
shall use the distribution as necessary to reimburse" and
substitute "A political subdivision that has received a
distribution under Section 403.1041 shall use the distribution to
reimburse, in accordance with Subsection (d),".
      (2)  In SECTION 1.01, in added Section 403.1044, Government
Code (senate committee printing, page 4, lines 6-26), strike
Subsections (c), (d), and (e) and substitute the following:
      (c)  The amount of the reimbursement required for a state
hospital or clinic under this section shall be computed by
multiplying the total amount of the distribution received by the
political subdivision under Section 403.1041 by a fraction, the
numerator of which is the amount of unreimbursed health care
expenditures of the hospital or clinic described by Subsection (b)
and the denominator of which is the total of:
            (1)  the amount of unreimbursed health care
expenditures of the political subdivision as determined under
Subchapter J, Chapter 12, Health and Safety Code; and
            (2)  the amount of unreimbursed health care
expenditures of the hospital or clinic described by Subsection (b).
      (d)  A  state  hospital  or clinic that has made unreimbursed
health care expenditures described by Subsection (b)  shall  submit
information relating to those expenditures in the form and at the
time required by the Texas Department  of  Health. At the time the
department makes the certification to the comptroller under Section
12.132, Health and Safety Code, the  department shall also certify
to the comptroller, the  hospital or clinic, and the political
subdivision,  the  amount  of the reimbursement required under this
section.
      (e)  For a year following a year in which the Texas
Department of Health has certified that a political subdivision is
required to make a reimbursement under this section, the
comptroller  may  not  make  an  annual distribution to the
political subdivision until the state hospital or clinic notifies
the comptroller that  the  amount  certified  under  this  section
for the preceding year  has  been paid or that the debt has been
settled and all claims against the political subdivision for the
debt have been released.
      (f)  For purposes of computing the amount of reimbursement
required to be paid to the South Texas Hospital under Subsection
(c), expenditures related to  the  care and treatment of patients
with tuberculosis may not be included as unreimbursed health care
expenditures.