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.