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.