Amend CSHB 1398 as follows: (1) On page 25, between lines 13 and 14, insert the following: (f) Except as provided by Subsection (e), the account shall be allocated for payment to tertiary facilities for the facilities' unreimbursed tertiary medical services. (g) This chapter may not be construed to authorize the department to use funds to provide reimbursement to tertiary care facilities under this subchapter other than funds appropriated for that purpose in the General Appropriations Act. (2) On page 26, line 5, strike "was a designated" and substitute "operated as a". (3) On page 26, strike lines 13-20 and substitute the following: (c) Except as provided by Subsection (d), each year the comptroller shall pay a tertiary care facility the certified amount declared under Subsection (a) from the funds specified under Section 46.003(f). (d) If in any year the total cost of unreimbursed tertiary medical services certified under Subsection (a) for all tertiary care facilities exceeds the amount available for payment to the facilities under Section 46.003(f), the department shall allocate the amount available under Section 46.003(f) to each facility based on the percentages computed by dividing the cost of the facility's unreimbursed tertiary medical services by the total cost of all facilities' unreimbursed tertiary medical services. The comptroller shall pay each tertiary care facility based on the allocation made under this subsection. (4) On page 26, line 21, strike "(d)" and substitute "(e)". (5) On page 27, strike line 13 and insert the following: (c) Except as provided by Subsection (d), the comptroller shall pay the tertiary care facility the certified amount declared under Subsection (b) from allocated funds specified under Section 46.003(e). (d) If in any year the total cost of unreimbursed tertiary medical services certified under Subsection (b) for all tertiary care facilities exceeds the amount available for payment to the facilities under Section 46.003(e), the department shall allocate the amount available under Section 46.003(e) to each facility based on the percentages computed by dividing the cost of the facility's unreimbursed tertiary medical services incurred during emergencies by the total cost of all facilities' unreimbursed tertiary medical services incurred during emergencies. The comptroller shall pay each tertiary care facility based on the allocation made under this subsection.